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ON LINE POLICE REPORT

LEE COUNTY SHERIFF'S OFFICE ONLINE REPORTING SYSTEM

THIS SYSTEM IS AVAILABLE TO ALL LEE COUNTY RESIDENTS WHOM MAY HAVE HAD AN INCIDENT OR CRIME COMMITTED AT THEIR RESIDENCE OR PLACE OF BUSINESS THAT WISH TO FILL A REPORT WITHOUT HAVING A DEPUTY COME TO THEIR LOCATION.

PLEASE BE SURE THAT THIS INCIDENT OR CRIME OCCURRED IN LEE COUNTY ALABAMA AND NOT WITHIN THE POLICE JURISDICTIONS OF OPELIKA, AUBURN OR PHENIX CITY BEFORE GOING THRU THE TROUBLE OF FILLING OUT THIS FORM, IF YOU HAVE ANY DOUBTS CONTACT MAJOR TOMMY CARTER @ tcarter@leecountysheriff.org FOR GUIDANCE.

ALL INFORMATION ASKED HERE IS REQUIRED IN ORDER FOR A REPORT TO BE FILLED OUT, ADDITIONAL INFORMATION MAY BE NEEDED IN ORDER TO COMPLETE THE REPORT SO PLEASE MAKE SURE YOUR CONTACT INFORMATION IS CORRECT.

IT IS A CRIME IN ALABAMA TO FILE A FALSE REPORT, IF IT IS FOUND THAT THE INFORMATION PROVIDED BY YOU IS IN FACT FALSE THEN YOU WILL BE PROSECUTED.

DO NOT USE THIS FORM TO REPORT A CRIME IN PROGRESS! PLEASE CALL 911 IF YOU NEED IMMEDIATE ASSISTANCE.

DATE OF THIS REPORT: / /

NAME:

STREET ADDRESS:

CITY:

STATE:

ZIP CODE:

HOME PHONE NUMBER: - -

OTHER CONTACT NUMBER: - -

EMAIL ADDRESS:

SOCIAL SECURITY NUMBER: - -

DATE OF BIRTH: / /

SEX:

HEIGHT:

WEIGHT:

COLOR OF HAIR:

COLOR OF EYES:

RACE:

PLACE OF EMPLOYMENT:

OCCUPATION:

INFORMATION ABOUT THE CRIME OR INCIDENT

DATE OF OCCURRENCE: / /

TIME OF OCCURRENCE:

PLACE OF OCCURRENCE: SAME AS ABOVE? YES NO

IF NO; STREET ADDRESS:

CITY:

STATE:

TYPE OF CRIME/INCIDENT:

IF OTHER PLEASE EXPLAIN:

ARE THERE ANY SUSPECTS (IF APPLICABLE)?

GIVE ANY SUSPECT INFORMATION YOU MAY HAVE:

DO YOU HAVE ANY WITNESSES? IF SO PLEASE LIST NAMES AND CONTACT INFO:

WAS ANY PROPERTY TAKEN? IF SO, DESCRIBE: (INCLUDE VALUES)

TELL US ABOUT WHAT HAPPENED:

BY AFFIXING YOUR NAME HERE YOU ATTEST TO THE FACT THAT ALL THE INFORMATION SUPPLIED BY YOU TO TRUE AND CORRECT TO THE BEST OF YOUR KNOWLEDGE:

Name:

IF YOUR REPORT IS SUBMITTED PROPERLY YOU WILL BE RETURNED TO THE HOME PAGE, IF THIS DOES NOT OCCUR THEN A PROBLEM HAS OCCURRED AND YOU WILL HAVE TO RE-SUBMIT. PLEASE MAKE SURE THAT ALL BOXES ARE FILLED OUT THAT ARE REQUIRED.