You are completing an online report for Theft from a Vehicle. This report is intended for situations where someone has stolen things from your vehicle. Requirements to file an online report: the total value of the stolen items is less than $1000, you have no suspects, and the items do not have serial numbers or other identifying numbers. If you do not meet these requirements, please call 317-773-1282 to file a report with a police officer. Please write a detailed narrative including who, what, when, where and how.

Detailed Narrative of Incident*

When did this occur? Please include beginning and ending dates and times.

Was there forced entry?*

Yes

No

Incident Address

Property

Item 1 (Please describe item. Include the serial number if applicable)

Item 2 (Please describe item. Include the serial number if applicable)

Item 3 (Please describe item. Include the serial number if applicable)

Your Information

Name:*

Street Number and Name:*

Address Line 2:

City:*

State:*

Zip Code:*

Date of Birth*

Driver's License Number

Drivers License State of Issue

Race*

Gender*

Phone Number:*

Fax Number:

Email Address:*

Preferred Contact Method:*

Do NOT contact me Email

Employer

Employer Address

Employer City

Employer Zip

Employer Telephone