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Enter Reporting Person Information
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I would like to ENTER reporting person information
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Additional Information
Incident Street
The Incident Street field is required.
Incident City
The Incident City field is required.
Incident Zip
--Please Select--
34952
34953
34983
34984
34986
34987
Must match one of the Port St. Lucie Zip Codes.
The Incident Zip field is required.
Incident Start Date
The Incident Start Date field is required.
Incident Start Time
The Incident Start Time field is required.
Incident End Date
The Incident End Date field is required.
Incident End Time
The Incident End Time field is required.
Location Type
Graffiti Involved?
--Please Select--
Yes
No
Incident Description
The Incident Description field is required.
Cannot have more than 255 characters.
Vehicle Information
Type
--Please Select--
Aircraft
Auto
Boat
Bus
Camper/RV
Motorcycle
Other
Trailer
Truck/Van
Make
Model
Year
Color
--Please Select--
Amethyst
Beige
Black
Blue
Bronze
Brown
Burgundy/Maroon
Camouflage
Chrome
Copper
Gold
Gray
Green
Orange
Pink
Primer
Purple
Red
Silver/Aluminum
Stainless Steel
Tan
Teal
Turquoise
White
Yellow
None
VIN
Market Value
License Plate Type
--Please Select--
Amatuer/CB/HamRadio
Apportioned Plate
Bus
Commercial
Dealer Plate
Disabled Person
Exempt
Moped
Motorcycle
Other
Passenger Car
Rental Vehicle
Taxi
Tractor Trailer/Sem
Trailer
Truck
License Plate #
License Plate State
--Please Select--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennesee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Windows Locked?
--Please Select--
Yes
No
Suspect Information
First Name
Middle Name
Last Name
Address
City
State
Zip
Telephone
Employer Name
Work Address
Race
--Please Select--
African American
American Indian/ Alaskan
Asian Indian
Camborian
Chinese
Filipino
Guamanian
Hawaiian
Hispanic/Latin/Mexican
Japenese
Korean
Laotian
Other
Other Asian
Pacific Islander
Portuguese
Samoan
Vietnamese
Caucasian
Sex
--Please Select--
Male
Female
Approx. Age
Approx. Height
Approx. Weight
Eye Color
Hair Color
Submit
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