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Step One

Today's Date*
Today's Date
Today's Date
Classification:*
Instructions*
1. Yes
I have read the instructions for completing online reports.
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Victim's Name*
Gender*
1. Male
2. Female
Date of Birth:*
Address:*
City:*
State:*
Zip Code:*
Home Phone:
Work Phone:
Email Address:*
Location Occurred:
List street address. If unknown, physical location.
Date & Time:
Date & Time:
Date & Time:
List date and time of occurrence if known. If over a period of time, complete additional sections below.
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List the items damaged and the damage estimate. If this section is not applicable, enter N/A in the blocks. (For example: Christmas Lights - $20.00).
(Criminal Mischief, Burglary, Hit and Run)
How does it appear damage was done?
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When did you last know there was no damage? (Criminal Mischief, Burglary, Hit and Run)
Date & Time:
Date & Time:
Date & Time:
When did you discover the damage? (Criminal Mischief, Burglary, Hit and Run)
Date & Time
Date & Time
Date & Time
Damage Estimate (Criminal Mischief, Burglary, Hit and Run)
Damage estimate for damaged items or damaged car. Use a total figure if multiple items.
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List the items stolen or lost. If this section is not applicable, enter N/A in the blocks. (Burglary, Theft, Gas Drive-off, Lost)
Do not include account numbers or credit card numbers for stolen checks or credit cards/debit cards. (EXAMPLE: VCR-$100, Model XX-XXX, Serial #00000, Color: Black)
When were you last in possession of the stolen or missing property (if applicable)?
Date & Time
Date & Time
Date & Time
When did you discover the item missing?
Date & Time:
Date & Time:
Date & Time:
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Do you have any suspects? If yes, list all the information you know about the person(s). This can include (Name, Race, Sex, Date of Birth, Address, Telephone Number, etc.). Why are they a suspect?
Vehicles
1. Damaged
2. Stolen
3. Suspect
Include all known information: Year, Make, Model, Color, License, VIN, Special Markings). Include the name of the owner if known.
Vehicles
1. Damaged
2. Stolen
3. Suspect
Include all known information: Year, Make, Model, Color, License, VIN, Special Markings). Include the name of the owner if known.
Vehicles
1. Damaged
2. Stolen
3. Suspect
Include all known information: Year, Make, Model, Color, License, VIN, Special Markings). Include the name of the owner if known.
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