Online Report Form

Your First Name*

Your Last Name*

Your Email*

Your Phone Number*

Address

Your Street Address*

Apartment/Suite Number

City*

State*

Zip Code*

Incident Location

Address

Company

Street Address*

Apartment/Suite Number

City*

State*

Zip Code*

Incident Details

Date and Time*

Type of Incident*
—Please choose an option—Abandoned AutoAnimal ComplaintChild Custody Report - Failure to comply with Judges orders onlyCriminal Mischief/ Vandalism - with no lossCredit Card FraudHarassment by CommunicationHit and Run Crash to Unoccupied PropertyIdentity Theft/ Fraud - Phone or InternetLost Property - Except firearms and weaponsNon-Active Traffic ComplaintNon-Active Suspicious ActivityParking ComplaintPolice InformationTheftTheft of a bicycleOther

Summary of Incident*

Enter additional information that may assist with the investigation of the report. If possible please include names, nicknames, social media names, phone numbers, e-mail addresses, bicycle serial number, bicycle make, bicycle model number, vehicles, home address, a description of the suspect and your relationship to the suspect.

Preferred time to follow up with you

Attachments (2 MB max file size)

Attach any files (jpg, jpeg, png or pdf) that may assist with the investigation of the report.

Internal ID (Agency Use Only)

Policy Acceptance* I understand that filing a false report is a criminal offense. I have read the above information and believe this incident to be eligible for online reporting.

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