Reporter Name
Date & Time
Crime Summary
Crime type or brief
Location (Lat, Lng)
Time of Incident
Crime occurred at:
Crime Report Details
Casualty Occurred: Yes
User is the Victim: No
Law Agency Informed: Yes
Injury Status: No
Culprit Information
Do you know the Culprit? No
Gender: Male
Is Armed? Yes
Intoxicated? No
Has Fled? Yes
Other Details:
Report Form
GPS Accuracy
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