For Thefts

The following items marked with an asterisk (*) are required for the Brattleboro Police Department to properly file a Crime and/or Incident report.

AFTER COMPLETING YOUR ON-LINE REPORT, YOU WILL RECEIVE A CASE NUMBER VIA E-MAIL WITHIN 3 WORKING DAYS. DO NOT CALL THE POLICE DEPARTMENT TO REQUEST YOUR CASE NUMBER. IF YOU CANNOT WAIT THE 3 DAYS TO GET THE CASE NUMBER DO NOT MAKE YOUR REPORT VIA THIS SYSTEM.

Personal Information:
*Your First Name:  
*Your Middle Name:  
*Your Last Name:  
*Your Birthdate:  
*Your Age:  
     
*Your Mailing Address:  
*Your City and Zip Code:  
*Your Home Phone Number:  
*Your Work Phone Number:  
*Your E-Mail Address:

Your e-mail needs to appear in an
e-mail format or it will not be accepted
(example: abc@123.net)

  
Your Driver's License #
 

Driver's License State:  
*Victim's Name :  
*Victim's Mailing Address:  
     
Location,Time, and Date:
*Address where Crime / Incident occurred:  
     
*Location where items stolen / lost from :  
     

*Date(s)when crime / incident occurred:

If you are not sure of exactly when the crime occurred, please list the dates that the crime occurred between.

  
     

*Time(s)when crime / incident occurred:

If you are not sure of exactly when the crime occurred, please list the times that the crime occurred between.

  
     

*Type of Theft you are reporting:

Please choose the classification from the the list which most describes the type of theft you are reporting

  
     
Description of Crime: (Tell what happened)
     
Please describe the property that was stolen:
A Value is required, If actual value is unknown, please enter $1.00    
Item#1 Description:  
Make:  
Size:  
Color:  
Serial number:  
Model Number:  
Other identifying numbers or marks:  
*Value $:  
Item#2Description:  
Make:  
Size:  
Color:  
Serial Number:  
Model Number:  
Other identifying numbers or marks:  
Value $:  
Item#3 Description:  
Make:  
Size:  
Color:  
Serial Number:  
Model Number:  
Other identifying numbers or marks:  
Value $:  
   
Additional Stolen Items:
If there was a Vehicle involved, please complete the following:
Make:  
Model:  
Color / Color:  
Vehicle License :  

Vehicle License State:  
Registered Owner :  
Damage Amount $:  
   
Note:If you lost a credit card/bank, personal or other check(s), contact the appropriate company immediately to cancel the lost item so that it may not be fraudulently used and so that you will not suffer any monetary damages. If you lost a drivers license, passport or other identification, immediately contact those agencies to report the loss.