Police Report/Cite Number * Location of Incident * Date * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20232024202520262027 Year Time * Hour123456789101112 Hour :Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Minute am pm Subject Employee * ID Number * Complainant * Date of Birth * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20232024202520262027 Year Sex * Address * City * State * Zip Code * Race * Home Phone * Cell / Business Phone * Business Address * Witness Date of Birth MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20232024202520262027 Year Sex Race Address City State Zip Code Home Phone Cell / Business Phone Business Address Witness Date of Birth MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20232024202520262027 Year Sex Address City State Zip Code Home Phone Cell / Business Phone Business Address Complaint * Additional Information Signature of Complainant CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit
