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Theft - General

This is a General Theft in which property was stolen from you.
Reporting Person Information
Please enter your information.
First Name (required)
Middle Name
Last Name (required)
Date of Birth (required)
Racial/Ethnic Identity
Gender/Gender Identity
Phone Number (required)
Email Address (required)
Confirm Email Address (required)
Home Address (required)
Zip Code (required)
Driver's License Number
Driver's License State
If you are reporting on behalf of someone else, please click Add Additional below and include the victim's information.
Business Information
Business Information, if any.
Business Name
Business Address
Business Phone Number
Incident Location Information
Please provide location information related to the incident.
Incident Location (required)
Please provide date and time information for which the incident occurred.
Beginning Timeframe (required)
Ending Timeframe (required)
Stolen Property Information - General
Please provide information related to the stolen property involved in this incident.
Please be as detailed as possible and list items separately. If you have multiple items, high value items, or property with serial numbers, if they are not listed in detail, your report may be sent back requesting additional information.
Property Description
Make
Model
Color
Serial Number
Value (required)
Hate/Bias Information
Please provide information related to the Hate/Bias Crime you feel in this incident, if any.
Do you feel this is a hate/bias crime? (required)
If yes, please select why you feel targeted.
If yes, please explain in your narrative of events on why you feel this is a hate/bias crime.
Incident Narrative
Describe your incident here, and please be as detailed as possible.
Incident Narrative (required)
Suspect Information
Please provide any known suspect information related to this incident, if any.
Race/Ethnicity
Age
Gender
Hair Color
Eye Color
Height
Weight
Clothing
Vehicle Description
Vehicle License Plate
Name
Date of Birth
Phone Number
Address
Other Info
Documents, Pictures or Videos
Please provide any Documents, Pictures or Videos to Support your Case
Contact Information
Please provide the best e-mail and phone number to reach you.
E-Mail Address (required)
Mobile Phone Number (required)
We are currently not yet accepting appointments, please select No Appointment (required)
Schedule Contact Appointment
Please pick an available date and time for an officer to contact you via Phone or Zoom.

Filing a false police report is a crime (ORS 162.375). Please review your information above.



400 E Main St
Cottage Grove, OR 97424
Phone: (541) 942-9145

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