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2. First Name
3. Last Name
4. Phone Number
6. Email Address
8. Suspect's Name
10. Where Does Suspect Live? (Street/City/Town)
11. Type of Crime Committed **IF CRIME IS IN PROGRESS CALL 911**
13. Description of the Suspect
15. Description of Crime/Additional Information (Who, What, When, Where, Why, and How crime was committed)*
17. File/Picture Upload
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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

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