Police Department

Online Reporting: Bicycle IncidentBack to Instructions

Step 1: Required fields are marked with *
Personal Information (person filing report):
*Last Name	*First Name	Middle Name
*Mailing Address
*City	*State	*Zip Code
	Choose One: Alabama Alaska American Samoa Arizona Arkansas Armed Forces Africa Armed Forces Americas Armed Forces Canada Armed Forces Europe Armed Forces Middle east Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
*Phone ( XXX-XXX-XXXX )	Alternate Phone ( XXX-XXX-XXXX )	E-Mail
Driver's License #	State DL Issued	*Date of Birth( MM/DD/YYYY )
	Choose One: Alabama Alaska American Samoa Arizona Arkansas Armed Forces Africa Armed Forces Americas Armed Forces Canada Armed Forces Europe Armed Forces Middle east Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
*Gender	Race
M F	Choose One: American Indian Asian Indian Black Cambodian Chinese Decline to Answer Filipino Guamanian Hawaiian Hispanic Japanese Korean Laotian Other Pacific Islander/Tongan Samoan Unknown Vietnamese White
*Victim Name (may be a person or business name)

Step 2: Required fields are marked with *
Crime Specific Information: Please enter the information related to the incident or crime.
*Location ( include street address if possible )
*City	*State
	California
*Date of Occurrence Range( MM/DD/YYYY )
Please list the dates that the crime occurred between ( ie. 02/20/2003 to 02/25/2003 )	to
*Time of Occurrence Range( HH:MM AM/PM )
Please list the times that the crime occurred between ( ie. 08:15 PM to 01:00 AM )	to
*Describe what happened( Be specific )
Was any evidence left behind? (ie: tools, fingerprints etc.) If yes, please describe:

IMPORTANT: Please review all information entered and make sure that it is true and correct. Please also make sure all fields marked with an asterisk (*) are filled in as these are REQUIRED fields.