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Citizen Report Form

2. Lewiston Police Online Reporting Form
   This form is to be complete for incidences that are not in progress, involves property crimes, and the value of Item(s) are less than $1000.00 dollars. Please complete this form as thoroughly as possible and be sure to submit it.

   This form is to be complete for incidences that are not in progress, involves property crimes, and the value of Item(s) are less than $1000.00 dollars. Please complete this form as thoroughly as possible and be sure to submit it.

4. Name*

5. Email Address*

7. Address*

9. City*

10. State*

11. Zip Code

13. Phone Number*

15. Date of Birth*
    Date of Birth

17. Incident Information
    MUST be within Lewiston City Limits

    MUST be within Lewiston City Limits

19. Incident Location Address*

21. Nature of Incident*
    -- Select One --Vandalism (no suspect info under $1000)Theft (so suspect info under $1000 value)Hit and Run (no suspect information)Telephone Harassment (no suspect information)Identity Theft (no suspect informaiton)Online or email fraud (no suspect information)Narcotics Tips (suspected drug activity)

    Select One

23. Date and Time Incident Occurred*
    Date and Time Incident Occurred

    Date and Time Incident Occurred

25. Description of Incident
    For the following fields, please include as many specific details as possible (names, dates, times, make, model, serial numbers, etc).

    For the following fields, please include as many specific details as possible (names, dates, times, make, model, serial numbers, etc).

27. Describe the Incident*

29. Description of any items - include serial numbers.*

31. If any items of value were involved, please provide the value below. This is NOT a replacement value. It is what the item is worth at a second hand or online store.

33. Item Value

35. Attach any related documents or photos:

37. By checking the box below, I certify that the information given is true and correct to the best of my knowledge.

39. This information is True and Correct

    1. Select if all the information is correct

41. Your information will be processed by our records department and we will contact you with your case number within the next week.

Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field