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2. Name of Person Reporting (First & Last Name)
3. Date of Birth
   Date of Birth
5. Best Contact Phone Number
6. Email Address
8. Home Address
10. Type of Report (Check a Box)

    1. Information Report
    2. Crime Report
    3. Code Enforcement – A “code enforcement report” is a formal reporting of a municipal code or ordinance violation, I.e., unlawful weeds, refuse, derelict vehicles and unlawful parking.
11. Date & Time Occurred
    Date & Time Occurred

    Date & Time Occurred
13. Best Description of Event

    1. Abandoned/Junk Vehicle
    2. Animal Issues
    3. Car Break In
    4. Code Enforcement Violation
    5. Graffiti
    6. Littering
    7. Lost Property
    8. Phone/Internet Harassment
    9. Traffic Complaint
    10. Criminal Mischief/Vandalism
    11. Crime Tip/Drug Activity Tip
    12. Other
14. Location Occurred
16. Brief Summary
18. Do you wish to receive a call from an officer? If so, please leave your best phone number below & best time to contact you.
19. If you'd like to submit photos, you can use this link below or an officer can arrange delivery.
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field