REPORT CRIMINAL ACTIVITY
All information that you provide below will be held in STRICT CONFIDENCE by the Shippensburg Police Department.
Suspect Info
Suspect Name
DOB Age Race WHITE BLACK HISPANIC ASIAN NATIVE AMERICAN Sex MALE FEMALE
Height Weight Hair Eyes
Address
Phone
Weapons
Does the Suspect have any Weapons? No Yes
Type of Weapon(s) Handgun Shotgun Rifle Other
Was the Weapon used in the Criminal Activity? No Yes
Vehicle Used
Year Make Model
Color Registration Plate No. State
Criminal Activity
Suspected Crime SELECT DRUGS THEFT BURGLARY ROBBERY RAPE HOMICIDE OTHER
Briefly explain the Suspected Criminal Activity
Where did the Criminal Activity occur?
If Drugs are invovled, what type? Marijuana Crack/Cocain Heroin Other
Where are the Drugs kept?
Day(s) of the week of the Criminal Activity Sun Mon Tues Wed Thurs Fri Sat
Time(s) of the Criminal Activity am pm to am pm
Date(s) of the Criminal Activity to
Additional Information or Comments
Optional Information
Your Name
E-mail Address
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If you prefer you may print the form and mail it to:
Shippensburg Police Dept. Attn: Ofc. Fraker P.O. Box 26 60 W. Burd Street Shippensburg, Pa 17257