crimeweb

This form is for your own records and insurance purposes only. Remember, this form is for reports only.

If you have physical evidence or need to speak to a Deputy, please call our Dispatch Center at 339-6311 or 1 800 452-2051

If you have more than five items to report, please call Dispatch for a Deputy.

If the crime occurred within the city limits of Brawley, Calexico, Calipatria, El Centro, Holtville, Imperial or Westmorland please contact your local police department to report this crime. This form is only for the areas assigned to the Sheriff's Office.

Simply fill in the form below and click "Submit."
Please fill out the form as completely as possible.
Please give us a phone number where you can be reached in case an investigator needs to speak to you.
You will receive a follow-up email or phone call with your Report Number.

Fields in red are mandatory.

*Person Making Report*
Phone Number of Person Making Report
E-Mail Address of Person Making Report	Write "None" if you want to be notified by phone
How do you want to receive your Crime Report #?

Victim Information
Victim Last Name:
Victim First Name
Business Name:
Street Address:
City
Zip
Victim Work Phone:
Victim Home Phone:
Victim E-Mail
OAN #
Contact Information (if different)
Contact Last Name:
Contact First Name
Street Address:
City
Zip
Contact Work Phone:
Contact Home Phone:
Contact E-Mail

Loss or Crime Info
Type of Crime or Loss
Date of Occurrence
Time of Occurrence
Date Item Last Seen
Time item Last Seen
Street Address of Loss or best description of location:
City
Zip

Item #1 Type of Item
Item #1 Brand
Item #1 Model
Item #1 Color
Item #1 $ Value
Item #1 Serial Numbers
Item #1 Identifying Marks

Item #2 Type of Item
Item #2 Brand
Item #2 Model
Item #2 Color
Item #2 $ Value
Item #2 Serial Numbers
Item #2 Identifying Marks

Item #3 Type of Item
Item #3 Brand
Item #3 Model
Item #3 Color
Item #3 $ Value
Item #3 Serial Numbers
Item #3 Identifying Marks

Item #4 Type of Item
Item #4 Brand
Item #4 Model
Item #4 Color
Item #4 $ Value
Item #4 Serial Numbers
Item #4 Identifying Marks

Item #5 Type of Item
Item #5 Brand
Item #5 Model
Item #5 Color
Item #5 $ Value
Item #5 Serial Numbers
Item #5 Identifying Marks


Comments

Any Witnesses?

Visitors: