ALL INFORMATION WILL BE KEPT CONFIDENTIAL
YOUR IDENTITY WILL NOT APPEAR ON THE REPORT

1. What type of crime are you reporting?

2. Where did this crime occur?

(exact location)

3. Is this crime still going on? 

Yes                    No  

4. If this is an on-going activity, what days and times does it usually occur?

Days

Times of day

5. Why do you suspect this activity involves criminal conduct?

6. Do you know the identity of the person(s) involved?

Yes                 No

 7. Who are they?

8. If you don't know the individuals, what did they look like?

9. Did you see any vehicle(s) involved in this activity?

Yes                   No

10. If you did, can you describe it (them)? Color

                                                                   Make

                                                                   Model

2- door             4-door             Truck         SUV

License plate number

Anything distinctive about the vehicle? ( Loud pipes, CB antenna, decals or personalized paint job, custom wheels, or other accessories?)