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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.
Type of Incident
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Home Break-In (select type below)
Auto Break-In
Property Theft
Suspicious Behavior
Other
Check all that apply.
If Other, please write in here:
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If Home Break-In:
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Forced Door
Window
Garage Door
Other
If Other, please write in here:
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*
Indicates required field
Location of Incident (Address or Cross-Streets)
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Date / Time of Incident
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Briefly Summarize Additional Incident Details:
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Was security alarm active?
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Yes
No
Was property stolen?
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Yes
No
Indicate which items were stolen.
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Has the incident been reported to Seattle Police? If so, please include the Seattle Police incident report number below:
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Yes
No
Seattle Police Report Number:
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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
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Max file size: 20MB
Upload File #2
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Max file size: 20MB
Upload File #3
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Max file size: 20MB
Upload File #4
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Max file size: 20MB
Write any additional details here:
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Your Name
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First
Last
Your Email Address:
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Your Phone Number
*
Submit