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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
*
Choose One
Avon
Bond/ McCoy
Burns
Dotsero
Eagle
Eagle Vail
Edwards
El Jebel
Gypsum
Minturn
Red Cliff
Vail
Other
Note: Incident time is in military/ 24 hour format.
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
Male
Female
Address
Phone Number
Weight
Height
Eye Color
Clothing
Note: There is a 250MB total file size limit.
Attach supporting documentation and pictures.
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First Name
Last Name
Email
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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.
disregard this