Date and time incident occurred:
(if unsure, use approximate) |
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| Type of incident: |
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| Location of incident: |
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Description of incident:
(please be as detailed as possible) |
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| Gender of offender/suspect: |
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| Race of suspect: |
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Description of offender/suspect:
(include age, hair color, height, weight, clothing, distinguishing marks, any words spoken, etc.) |
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| Name of offender/suspect (if known): |
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| Address of offender/suspect (if known): |
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| Description of vehicle (if applicable): |
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| Any other relevant information: |
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