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Crime Reporting Form

  1. Preliminary Information
  2. Today's Date
  3. Your Information
  4. Victim Information
  5. Victim Physical Address
  6. Mailing Address if different from Physical Address
  7. Crime Details
  8. Do not list only the town.

  9. Approximate times are acceptable.
  10. Please describe what happened in chronological order being as detailed as possible.

  11. In order to expedite your case, please provide the approximate total value and serial numbers for each item stolen along with the description.

  12. Please describe the license plate, make, model, style and any other pertinent details of the vehicle.  

  13. Is this report for insurance purposes only?*
  14. Leave This Blank: