btn previous

Generated with MOOJ Proforms Basic Version 1.5

THIS FORM SHOULD ONLY BE USED FOR MINOR INCIDENTS.

The information you submit below will become property of Elon Police Department. Persons filing a false police report will be prosecuted. According to North Carolina General Statute 14-225, false reports to law enforcement agencies or officers will be handled as follows: Any person who shall willfully make or cause to be made to a law enforcement agency or officer any false, misleading or unfounded report, for the purpose of interfering with the operation of law enforcement agency, or to hinder or obstruct any law enforcement officer in the performance of his duty, shall be guilty of a class 2 misdemeanor.

Date of Incident
Location Of Incident
Name of Victim
Date of Birth
Gendar
Race/Ethnicity
Address of Victim
Employer Name/Address
E-mail Address
Home Phone
Business Phone
Property Description
Make/Model
Serial No.
Qty
Value
Details of Incident