Translate

Citizen Incident Report

I understand that my name and the statements contained in this incident report may be considered a public record and open for inspection pursuant to the Colorado Open Records Act (C.R.S. 24-72-201, et seq.) and this statement is true to the best of my knowledge.

Reporting Person Information

Full Name

Date of Birth

Phone Number

Street Address

City

Mailing Address

THE FOLLOWING STATEMENT IS TRUE TO THE BEST OF MY KNOWLEDGE

Incident Details

Incident location

Incident Municipality

Incident Date

Description of Incident

Animal 1: Type of Animal

Animal 1: Breed

Animal 1: Color

Animal 1: Size

Animal 1: Collar/ Markings

Animal 2: Type of Animal

Animal 2: Breed

Animal 2: Color

Animal 2: Size

Animal 2: Collar/ Markings

Animal 3: Type of Animal

Animal 3: Breed

Animal 3: Color

Animal 3: Size

Animal 3: Collar/ Markings

Description of Person of Interest

Person of Interest Name

Race

Sex

Address

Phone Number

Weight

Height

Eye Color

Clothing

Attach supporting documentation and pictures.

Click Here to Upload

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.