2. If this is an emergency or a crime in progress, do not use this form; instead call 911 immediately.
4. I Certify the Following: *

   1. This is NOT an emergency or crime in progress; I understand that I may not receive a police response for as long as 3 business days.
6. First Name*
7. Last Name*
9. Date of Birth*
10. Telephone*
11. Email Address*
13. Home Address*
14. City*
16. State*
17. Zip*
21. Date of Theft*
    If the exact date of the theft is not known, please indicate the last date you saw the property, and the date you noticed the property missing
22. Time (or Time Range) of Theft*
    If the exact time of theft is not known, please indicate the last time you saw the property, and the time at which you first noticed it missing
24. Address Where Theft Occurred*
25. City*
27. State*
28. Zip*
30. Detailed Description of Theft *
32. Detailed Description of Stolen Property*
    Include make/brand, model, color, and any other identifying attributes of stolen property
34. Estimated Value of Stolen Property
36. Additional Comments
38. Within 3 business days of submitting this form, you should receive a case number and confirmation via email.
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40. Submit

* indicates a required field