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Victim Type
Is the victim of the crime that you are reporting a person or a business?
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Victim's Name
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Your Information
Name
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Date of Birth
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Address
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City
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State
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Zip
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Home Phone Number
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Cell Phone Number
Email Address
Incident Information
Incident Type
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Lost Property
Damage to Property
Vandalism Report
Theft from Vehicle
Date and Time of Incident
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Estimated Dollar Value of Damages / Loss
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Incident Location
Description of Property
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Please be concise. Describe property lost, taken, or damaged.
Description of Incident
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Please be concise.
Confirm Online Police Report
I understand that I am filing this report for information / insurance purposes only.
I understand that filing this report shows that there are no known suspects.
I understand that no follow-up investigation will be conducted by the Valparaiso Police Department.
I understand that filing a false police report is a crime punishable by law.
I hereby certify that this report is true and correct to the best of my knowledge.
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I agree to the above terms and conditions
Electronic Signature
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