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Crime Information

Activity Being Reported
Activity Being Reported*
Date(s) Crime / Incident Occurred
Date(s) Crime / Incident Occurred
Date(s) Crime / Incident Occurred
Crime/Incident Information: Briefly describe the crime/incident in the box.*
Address Where the Crime Occurred
Street Address 1*
Street Address 2
City*
State*
ZIP Code
Type of Location*
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Last Name*
First Name*
Middle Name
Email Address*
Sex
1. Male
2. Female
3. Non-Binary
1. Transgender Woman
2. Tansgender Man
3. Prefer not to state
Race (Optional)
Date of Birth
Date of Birth
Your Address
Street Address 1*
Street Address 2
City*
State*
ZIP Code
Home Phone*
Work Phone
If a Deputy Needs to Contact You:
Your contact information is not required but is encouraged to help ensure there is enough information for our Office to follow-up on your report.
Best Phone Number
Best Time to Call
Best Time to Call
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Validation
By checking the "I Agree" box and by submitting this form, the person making this report understands that knowingly making or transmitting a false report to a law enforcement agency is a criminal offense.
1. I agree.

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