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Theft of a Bicycle

This is a Theft in which your bicycle was stolen.
Reporting Person Information
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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.
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)
Property - Bicycle
Please provide information related to the bicycle involved in this incident.
Make
Model
Color
Serial Number (required)
Value (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
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)
Documents, Pictures or Videos
Please provide any Documents, Pictures or Videos to Support your Case
Contact Information
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E-Mail Address (required)
Mobile Phone Number (required)
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Schedule Contact Appointment
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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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