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Click ‘Get Form’ to open it in the editor.
Begin by entering today’s date and time at the top of the form. This is crucial for record-keeping.
Indicate whether identification has been provided by selecting 'YES' or 'NO'. If yes, attach a copy as instructed.
Fill in your name, driver’s license number, and date of birth in the designated fields to identify yourself clearly.
Circle your relationship to the incident from the options provided: Reporting Party, Complainant, Victim, or Witness.
Complete your address and phone numbers accurately to ensure proper communication.
Document the date and time of the incident along with a brief description of what occurred in the respective sections.
If this incident has been reported previously, indicate so and provide details about whom it was reported to.
Detail the location of the incident and provide a comprehensive description of what happened. Use additional pages if necessary.
List individuals involved by providing their names, addresses, phone numbers, and their relationship to the incident. Include descriptions where applicable.
Finally, describe any property involved with as much detail as possible. Attach supporting documents like statements or receipts if available.
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Lewistown Borough Police ; Address 21 South Brown Street Suite A Lewistown, Pennsylvania 17044. County Mifflin County ; Main Phone (717) 248-6716. General EmailRead more
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