City of Wilson, North Carolina

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Citizen's Report

Submit a Crime Report to the Wilson Police Department for one of the following:

Theft that occurred earlier
Vandalism/Damage to Property
Lost Property

If you have questions about filling out this form, please call
(252) 399.2323.

Printer Suggested: When you complete this form, you will be asked to print out a confirmation page. This page will also be emailed to you, in case you do not have a printer, so please enter a valid email address.

Citizen's Report Form

Was the item(s) lost/stolen/vandalized in Wilson?
If NO, please see or call police personnel now!

* Required Fields

Your Personal Information
* First Name:
Middle Name:
* Last Name:
* Race:
* Ethnicity:	Hispanic Non-Hispanic
* Sex:	Female Male
* Date of Birth:	mm/dd/yyyy
* Driver's License/ ID #:
* Driver's License State ID # State:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Home Phone Number:	(111) 111-1111
Title/Occupation:
Employer/School:
Daytime Phone Number:	Ext: (111) 111-1111
* Email Address:
Incident Information
* Incident Type:	Larceny Vandalism Lost Property
* Location of Incident:
* Date of Incident:	mm/dd/yyyy
* Time Range of Incident:	- hh:mm am/pm hh:mm am/pm
Business Name: (If business is victim)
* Description of Incident:
If A Vehicle Was Involved
Vehicle Make:
Vehicle Model:
Vehicle Color:
License Plate Number:
License Plate State:

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Citizen's Report

Citizen's Report Form