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Crime Report Form
This form has been modified since it was saved. Please review all fields before submitting.
Steps
1.
Step One
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2.
Step Two
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3.
Step Three
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4.
Step Four
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5.
Step Five
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Step One
Please read the following information prior to filling out your form.
NOTE: All form information is submitted securely over an encrypted connection. If you choose to send a copy of the submitted information to yourself when submitting this form, please remember that e-mail is insecure and your private information could be intercepted by unauthorized recipients. By selecting the option to send a copy of this form to your email, you agree to accept all responsibility and liability if that information is compromised.
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Step Two
Printable Version
Crime Report Form
This form is intended for the reporting of cold case incidents that are not actively occurring. The following crime types may be reported using this form:
Stolen Property under $1000
Stolen Property over $1000 if no suspects or evidence (excluding guns and vehicles)
Credit / Debit Card Fraud
Vandalism under $1000 damage
Littering
Gas Drive Off
Other Offenses
For all other incident types please contact police dispatch at 208-465-2257 to file a report with an officer.
You will be notified by email within 24 hours of your report number for insurance reporting. If you do not provide a valid email address it may take more than 24 hours to receive your report number. Upon submission, the completed form will be sent to the appropriate authorities and a copy made available for you to print or save for your records.
Please fill out all required fields that are marked with an asterisk (*).
Incident Time and Location
*
Incident Time and Location
Incident Time if known:
Incident Time if known:
Incident Location
*
Reporting Party Information
Is the reporting party also the victim?
Yes
No
Last Name:
*
First Name:
*
Middle:
Address1
*
City
*
State
*
Zip
*
Date of Birth
*
Date of Birth
Phone #:
*
E-Mail
*
Continue
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Step Three
Incident Type:
-- Select One --
Lost Property
Theft from Residence
Theft from Vehicle
Theft from Business
Theft from Outbuilding
Other Theft
Credit / Debit Card Fraud
Vandalism
Littering
Other Offenses
Theft Location -
If you selected a theft report option was the item stolen contained within the structure or vehicle?
For example: was the item inside the cab of a truck versus in the open bed of a truck?
Yes
No
If yes, was the structure or vehicle locked at the time of the theft?
Yes
No
Victim Information
If the victim is a business please put NA (Not Applicable) for the fields that do not apply to a business.
First Name
*
Last Name
*
Middle
Date of Birth
*
Date of Birth
Address
*
City
*
State
*
Zip Code
*
Primary Phone
*
Secondary Phone
E-Mail
Driver's License #
State of Issuance
Gender
Male
Female
Business or School Address
Daytime work or school phone number
Victim Vehicle Information
Note: All fields are mandatory if a vehicle was involved in the incident.
License Plate Number
Make
Model
State Registered
Year
Color
VIN
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Step Four
Additional Persons Information
Select type:
Witness
Suspect
Other
If "Other" explain:
First Name
Last Name
Date of Birth
Date of Birth
Address
City
State
Zip Code
Primary Phone
Secondary Phone
Select Type:
Witness
Suspect
Other
If "Other" explain:
First Name
Last Name
Date of Birth
Date of Birth
Address
City
State
Zip Code
Primary Phone
Secondary Phone
Continue
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Step Five
Property Information
If you have more than five (5) items to report please add the additional items to the "Narrative" section below.
Quantity
Action
-- Select One --
Damaged
Stolen
Lost
Recovered
Found
Description / Serial # / $ Value
Quantity
Action
-- Select One --
Damaged
Stolen
Lost
Recovered
Found
Description / Serial # / $ Value
Quantity
Action
-- Select One --
Damaged
Stolen
Lost
Recovered
Found
Description / Serial # / $ Value
Quantity
Action
-- Select One --
Damaged
Stolen
Lost
Recovered
Found
Description / Serial # / $ Value
Quantity
Action
-- Select One --
Damaged
Stolen
Lost
Recovered
Found
Description / Serial # / $ Value
Are photo's of the property available?
Yes
No
Narrative -
Please describe the incident in your own words - this field is mandatory. Please be as descriptive and detailed as possible in your statement.
Narrative
*
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
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