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Vandalism / Suspicious Activity Reporting Form
PLEASE NOTE: Your e-mail address will remain anonymous unless you enter it in the e-mail field. If you wish to be contacted please enter contact information at the bottom of the form.
Date of Occurrence: (mm/dd/yyyy)
/
/
Time of Occurrence:
Between
AM
PM
And
AM
PM
Location:
Select One
Type of Incident:
Select One
Vandalism
Graffiti
Damage to property
Mischievous conduct
Alcohol consumption
Loud music
Assault/battery
Is this a recurring problem?
Yes
No
Were the police called?
Yes
No
Please provide as much detail as possible about the incident and specific location:
Offender Description 1:
Age:
Sex:
Male
Female
Weight:
Height:
feet
inches
Eyes:
Hair Color:
Style/Length:
Offender Description 2:
Age:
Sex:
Male
Female
Weight:
Height:
feet
inches
Eyes:
Hair Color:
Style/Length:
Offender Description 3:
Age:
Sex:
Male
Female
Weight:
Height:
feet
inches
Eyes:
Hair Color:
Style/Length:
Offender Description 4:
Age:
Sex:
Male
Female
Weight:
Height:
feet
inches
Eyes:
Hair Color:
Style/Length:
Name/Address of offender(s) if known:
If you wish to be contacted please select the method below:
Email:
Phone: (
)
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