Security Incident Report Form

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SECURITY INCIDENT REPORT FORM (please call 911 for emergencies)

Instructions for Patrol Officers: Click reply when receiving this form to acknowledge receipt. The email will automatically reply to sender's email address entered below.
Please be sure to complete all required fields as indicated by the red *

Type of Incident *

Home Break-In (select type below) Auto Break-In Property Theft Suspicious Behavior Other

Check all that apply.

If Other, please write in here: *

If Home Break-In: *

Forced Door Window Garage Door Other

If Other, please write in here: *

* Indicates required field

Location of Incident (Address or Cross-Streets) *

Date / Time of Incident *

Briefly Summarize Additional Incident Details: *

Was security alarm active? *

Yes No

Was property stolen? *

Yes No

Indicate which items were stolen. *

Has the incident been reported to Seattle Police? If so, please include the Seattle Police incident report number below: *

Yes No

Seattle Police Report Number: *

If incident was recorded on a home security camera, please attach photos/video with this report. For additional files or large video file sizes, please upload to Google Drive/Dropbox/Other and add the link below in the additional details section.

Upload File #1 *

Max file size: 20MB

Upload File #2 *

Max file size: 20MB

Upload File #3 *

Max file size: 20MB

Upload File #4 *

Max file size: 20MB

Write any additional details here: *

Your Name *

First

Last

Your Email Address: *

Your Phone Number *

Submit

Home
Security
Park, Beach & Party Permits
Neighbors
Events & Sports
- Events
- Sports
Contact Us