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WEATHER
80026 Conditions and Forecast
Online Report Form
Lafayette Online Report
Type of Report
Required Fields are shown in RED
*
Select Report Type:
Choose One
Theft (less than $500)
Lost Property
Fuel Piracy (gas drive off)
Harassment by Phone
Vandalism
Bike Theft
Damaged Property
*
Date of Occurrence (mmddyyyy)
Crime occured between:
Time: (HH:MM AM/PM):
&
Address where crime occured
Reporting Party Information (Your Information)
*
First Name
*
Last Name
*
Date of Birth (mm/dd/yyyy)
*
Gender
Choose One
Female
Male
*
Home Address
*
State
*
Zip Code
*
Home Number
Work Number
Victims Information
First Name
Last Name
Date of Birth (mm/dd/yyyy)
Gender
Choose One
Female
Male
Home Address
State
Zip Code
Home Phone
Work Phone
Witness Information
First Name
Last Name
Date of Birth (mm/dd/yyyy)
Gender
Choose One
Female
Male
Home Address
State
Zip Code
Phone Number
Work Phone
Suspect Information
First Name
Last Name
Date of Birth (mm/dd/yyyy)
Gender
Choose One
Female
Male
Home Address
State
Zip Code
Home Phone
Work Phone
Vehicle Information
Year
Make
Model
License Plate Number
State
Year
Make
Model
License Plate Number
State
Lost or Stolen Property
Quantity
Description
Model
Serial Number
Value
Quantity
Description
Model
Serial Number
Value
Quantity
Description
Model
Serial Number
Value
Statement of Events
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