Grandview Police Department Minor Incident Report

Please fill out this form if you are reporting one of the following crimes.
THE CRIME MUST HAVE OCCURRED IN THE CITY OF GRANDVIEW:

-Harassing Phone Calls
-Identity Theft
-Lost Property
-Recovered Property
-Minor Theft of Property
-Theft of Service
-Vandalism/Damaged Property
-Other Minor Misdemeanor/City Ordinance Violation

Our records department will reply to your email with a report number for your reference and insurance company claims.

IF YOU HAVE SUSPECT INFORMATION, PLEASE CALL (816) 316-4985 TO SPEAK TO AN OFFICER. 
IF YOU ARE THE VICTIM OF A VIOLENT CRIME, PLEASE CALL 911!

1

Please check all that apply to this crime:

(If you have Suspect information or Evidence Please call (816) 316-4985 to speak to an officer) 

 *

Please check all that apply to this crime: (If you have Suspect information or Evidence Please call (816) 316-4985 to speak to an officer)

Harassing Phone Calls	Identity Theft	Lost Property
Recovered Property (found wallet, keys, etc.)	Theft of Property	Theft from a Vehicle
Theft of Service	Vandalism/Damaged Property	Other

2

If "OTHER," please describe crime in detail:

If "OTHER," please describe crime in detail:

3

DATE of report:

 *

DATE of report:

4

TIME of report:

TIME of report:

5

DATE(s)  of Occurrence:

 *

DATE(s) of Occurrence:

6

TIME(s) of occurrence:

 *

TIME(s) of occurrence:

7

Address/location of occurrence: 
(this incident must have occurred in the City of Grandview, Missouri)

 *

Address/location of occurrence: (this incident must have occurred in the City of Grandview, Missouri)

Address/location of occurrence: (this incident must have occurred in the City of Grandview, Missouri)

City

State

Zip Code

8

Victim Information:

 *

Victim Information:

Name	Date of Birth (mm/dd/yyyy)	Street Address:
City/State/Zip	Primary Phoneext.	Alternative Phoneext.
Alternative Phoneext.	Email Address	Race:
Sex:

9

List all Items Lost, Stolen, or Damaged including the Dollar Amount to Replace or Repair.
(please list a dollar amount for any item lost, stolen, or damaged)

List all Items Lost, Stolen, or Damaged including the Dollar Amount to Replace or Repair. (please list a dollar amount for any item lost, stolen, or damaged)

List all Items Lost, Stolen, or Damaged including the Dollar Amount to Replace or Repair. (please list a dollar amount for any item lost, stolen, or damaged)	$
List all Items Lost, Stolen, or Damaged including the Dollar Amount to Replace or Repair. (please list a dollar amount for any item lost, stolen, or damaged)	$
List all Items Lost, Stolen, or Damaged including the Dollar Amount to Replace or Repair. (please list a dollar amount for any item lost, stolen, or damaged)	$
List all Items Lost, Stolen, or Damaged including the Dollar Amount to Replace or Repair. (please list a dollar amount for any item lost, stolen, or damaged)	$
List all Items Lost, Stolen, or Damaged including the Dollar Amount to Replace or Repair. (please list a dollar amount for any item lost, stolen, or damaged)	$
List all Items Lost, Stolen, or Damaged including the Dollar Amount to Replace or Repair. (please list a dollar amount for any item lost, stolen, or damaged)	$
List all Items Lost, Stolen, or Damaged including the Dollar Amount to Replace or Repair. (please list a dollar amount for any item lost, stolen, or damaged)	$

10

Describe What Happened:

 *

Describe What Happened:

11

Witness Information:

Witness Information:

Name	Date of Birth (dd/mm/yyyy)	Street Address:
City/State/Zip	Home Phoneext.	Cell Phoneext.
Work Phoneext.	Email Address	Race:
Sex:

12

By clicking this circle and typing your name, you acknowledge that all reported facts are actual and truthful. 

By clicking this circle and typing your name, you acknowledge that all reported facts are actual and truthful.

By clicking this circle and typing your name, you acknowledge that all reported facts are actual and truthful.

Full Name

Today's Date

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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