City of East Palo Alto - Lost Property Report

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Lost Property Report

Only use this form to report crimes that occurred in the City of East Palo Alto. If the incident occurred elsewhere, please contact the appropriate agency where the incident occurred.

Please complete as many lines of the report as you possibly can. This will help us investigate the crime that you are reporting and / or screen it for potential investigation. If you only have partial information (like part of a license number, or a person's description), please give us whatever you have!

Please include whenever possible, the serial number, license number, account number (for credit cards and or checks), owner applied number, etc., of the lost or stolen property you are reporting.

If you need to report more than one type of crime or incident, please send us a separate Report Form for each one.

NOTE: If we need additional information to properly file your report, we will ask for this information to be submitted before a report number will be issued, so please fill out the form as completely as possible. Fields with asterisks (*) are MANDATORY - These must be completed for the report to be accepted.

Personal Information:	Please enter all of your personal contact information.
Your FULL Name:	*
Your Mailing Address:	*
Your City and Zip Code:	*
Your Birthdate:	*
Your Age:	*
Your Email:	*
Your Home Telephone:	*
Your Work Telephone:
Your Drivers Licence #:
Your Drivers License State:
Your Gender:	Male Female
Your Race:	White Black Asian Hispanic Pacific Islander American Indian Other
Victim's Name (If other than yourself):
Victim's Mailing Address (If other than yours):
Location, Time and Date:	Please describe the crime in as much detail as possible.
Address where Crime / Incident occurred:	*
Location where items stolen / lost from (car port, porch, etc.):	*
Date(s) when crime / incident occurred:	*
Time(s) when crime / incident occurred:	*
Describe the crime in detail (Tell us what happened) *
Property:	Please describe the property that was lost. A value* is required. If the actual value is unknown, please enter $1.*
Item #1 - Description:	*
Make:
Size:
Color:
Serial Number:
Other identifying numbers or marks:
Value:	*

Item #2 - Description:
Make:
Size:
Color:
Serial Number:
Other identifying numbers or marks:
Value:

Item #3 - Description:
Make:
Size:
Color:
Serial Number:
Other identifying numbers or marks:
Value:

Additional Lost Items (Include all above information):

	Please contact me.

East Palo Alto Police Department
2415 University Avenue, CA 94303
Tel: (650) 853-3160; Fax: (650) 853-3106