Public Incident Report

Public Incident Report....

Please use this form to report any public incident where a suspicious activity or concern is observed. Please record all relevant information including photographs if possible, a description of the individual(s), vehicle(s) including licence plate #, approximate location of the incident and what was observed. Staff can be called at the district office during regular office hours, or by submitting this completed report form.

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Date Reported:

Reported By:

(Anonymous reports are acceptable)

If you would like a response, please tell us how to get in touch with you:

Email :

Phone #:

Details of Incident

Date (s) of Occurrence:

Time (s) of Occurrence:

Name of Alleged Offender (if known):

Physical Description of person(s)

Male or Female:

Age:

Height:

Weight:

Hair colour:

Other:

Vehicle Description (s)

Make:

Model:

Licence Plate #:

Particulars of the incident: