Online Police Report

2. 

4. GARFIELD HEIGHTS ONLINE POLICE REPORT INCIDENT FORM

6. Date of Report:
7. Email Address
9. First Name
10. Last Name
12. Address
14. City
15. State
16. Zip Code
18. Phone Number
19. Cell Phone Number
21. Date of Birth:
22. Last 4 of SSN:
24. Driver's License Number
25. Race:
27. Height
28. Weight
29. Sex:
31. Hair Color
32. Eye Color
34. Location of Incident:
36. Date of Incident*
    Date of Incident
37. Time of Incident*
    Time of Incident Start Time

    —

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

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

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

    This field is not part of the form submission.

51. Submit

* indicates a required field