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Incident Date: Approximate Time:
Short Description:* (e.g. Arson, Bio Hazard, Bombs, Firearms, Kidnapping, Suspicious Person, Suspicious Activity)
Name of Subject(s):(If available) Describe the criminal conduct, what you saw and others involved - be specific(Include addresses, age, race, vehicle description / license plate #, phones numbers)
Incident Location - Street Address or Cross Streets:*
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If you would be willing to be contacted confidentially by an investigator, please complete the contact information below:Follow-up questions are always helpful and information you provide may entitle you to receive compensation. Submitter's First Name:Submitter's Last Name:Best Contact Number:Email Address:
Providing false or misleading information is a violation of Federal Law and may be subject to prosecution under Title 18 USC 1001. All information is subject to review and verification.