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2. Report Type:*

   Please select the type of report that best matches your situation:

   1. Additional Crime Information
   2. Burglary Report
   3. Credit Card Fraud Report
   4. Forgery Report
   5. General Police Report
   6. Graffiti Criminal Report

   1. Lost Property Report
   2. Noise Disturbance Report (non-emergency)
   3. Theft Report
   4. Vandalism/Damaged Property Report
   5. Vehicle Break-In Report
   6. Other
4. Address Where Offense Occurred:*
6. Issue Description:*
   Please be as specific as possible and provide all information regarding the incident. Your case may or may not be assigned for investigation based on the information received.
8. Date and Time of Incident:*
   Date and Time of Incident: Start Date

   Date and Time of Incident: Start Time

   —

   Date and Time of Incident: End Date

   Date and Time of Incident: End Time
10. Reportee's Name:*
12. Reportee's Race:
14. Reportee's Gender:
16. Reportee's Date of Birth:
18. Reportee's Address:
20. Reportee's Phone Number:*
22. Reportee's Email Address*
24. Victim's Name:
26. Business Name:
28. Race of Victim:
30. Gender of Victim:
32. Date of Birth of Victim:
34. Address of Victim:
36. Phone Number of Victim:
38. First and Last Name of Suspect #1:
40. Age of Suspect #1:
42. Race of Suspect #1:
44. Gender of Suspect #1:
46. If you have any documents that may assist in responding to your request, please attach them here:
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field