If you have a video you would like to include with your report, please contact email@example.com CONTACT INFORMATION Complete this section to allow other Neighborhood Watch subscribers to reach you directly. Leave it blank to remain anonymous. Name   Email   Phone   ____________________________________________________________________________________________________ INCIDENT DETAILS * Type of Incident  ---Break-In / Burglary / TheftLostFoundSuspicious Person / Loitering / Prowling / TrespassingVandalism<Other> * Event Date & Time   Specific Location   Description of the Incident / Concern / Lost or Found Item Please Provide Pictures (For video, contact us at firstname.lastname@example.org.) HCSO/TPD Event #   ____________________________________________________________________________________________________ SUSPICIOUS PERSON(s) / ALLEGED SUSPECT(s) Number of People   Race  ---WhiteBlackHispanicMixed CompanyOtherUnknown Gender  ---MaleFemaleMixed CompanyUnknown Approximate Age   Detailed Description (e.g., Accent, Approximate Height and Weight, Hair Color/Length, Facial Hair, Tattoos, Glasses, Hat, Shirt/Pants/Shoe Color, Mask, Gloves, Sunglasses, Backpack, and Weapon) ____________________________________________________________________________________________________ METHOD OF TRANSPORTATION ---FootBicycleSkateboardCar/TruckBoatUnknown/Other Vehicle Description (e.g., Size/Type, Color, Make/Model or Brand, Condition, Number of Doors, Company Logo / Decals, Convertible, Damage, Number of Occupants, Number of Occupants, and Other Identifiable Marks). Vehicle Tag # / Boat FL #   ___________________________________________________________________________________________________ FINALIZE REPORT Additional Information * May this submission be shared with other residents? YesNo * I AGREE that 1) site administrators retain full discretionary rights to monitor, review, withhold, and remove information on or from this site and 2) the Dana Shores Civic Association and its Board of Directors, leaders, members, and volunteers are in no way responsible for the content provided herein or for any actions that may or may not be taken as a result of this information or the management thereof.
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