Porterville Police Department
Online Crime Report
General Information
Date/Time of Occurrence
Date/Time Reported
July 30, 2010 9:34 PM
Location of Occurrence
Victim Information
Name
Phone Number
Address
Date Of Birth
Gender
Male
Female
Occupation
Reporting Person
Name
Phone Number
Address
Date of Birth
Email
A copy will be sent to this email address
Summary of Crime
Property Loss
(if applicable)
Article
Quantity
Brand/Manufacturer
Serial Number
Description
Value
I prefer to print this form offline and deliver it in person or by postal mail