Online Police Report

2. 
3. Report Number

5. GARFIELD HEIGHTS ONLINE POLICE REPORT INCIDENT FORM

7. Date of Report:
8. Email Address
10. First Name
11. Last Name
13. Address
15. City
16. State
17. Zip Code
19. Phone Number
20. Cell Phone Number
22. Date of Birth:
23. Last 4 of SSN:
25. Driver's License Number
26. Race:
28. Height
29. Weight
30. Sex:
32. Hair Color
33. Eye Color
35. Location of Incident:
37. Date of Incident*
    Date of Incident
38. Time of Incident*
    Time of Incident Start Time

    —

    Time of Incident End Time
40. Type of Incident (Examples include but are not limited to: Domestic Violence, Assault, Harassment/Menacing, Stolen Vehicle, Theft of Property):
42. Narrative:
44. Upload File
45. Upload File
46. Upload File

48. Police Department, 5555 Turney Road, Garfield Heights, Ohio 44125

Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field