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2. This form is provided as an easy and convenient means to report incidents that are minor in nature. If you need to report any other type of crime, you will need to speak to a police officer by telephone or in person by calling police dispatch at (801) 798-5600. Please do not use this form to report crimes that are in progress, crimes that require evidence collection, violent crimes, or crimes with suspect information. If this crime did not occur in Bluffdale, Utah, please contact the appropriate law enforcement agency to file a report. Once you have submitted this report online, it will be forwarded to a police officer for review. The officer will send you your case number and ask for any additional information (if needed). You will typically receive a response from the department within 5 business days regarding this case. Understand that our response time may vary according to the workload that officers are encountering at the time.

4. Personal Information

6. First Name*
7. Middle Initial
9. Last Name*
10. Date of Birth*
12. Address*
14. City*
15. State*
16. Zip Code*
18. Phone Number*
19. Extension (If applicable)
21. Email Address*

25. Report Information

27. Type of Report*
    -- Select One --Civil ProblemCriminal MischiefIdentity TheftLost PropertyLost/Stolen Cell PhoneMinor TheftsMinor VandalismParking ProblemProperty DamageTelephone/Electronic HarassmentZoning

29. Where did this incident occur?

31. Address*
33. City*
34. State*
35. Zip Code*
37. When did this incident occur?*
    When did this incident occur?

    When did this incident occur?
39. Your Statement*

    Please provide a precise and accurate statement about what occurred. Be sure to include all known details about the incident.

41. Item*
    -- Select One --BicycleCell PhoneWalletDebit Card Credit CardOther (Please specify what in the box below)Not Applicable

    If any of the following boxes for your property doesn't apply to this incident please click Not Applicable or write N/A. 

43. Lost/Stolen/Damaged Items*

    Explain what was lost, stolen, or damaged. Do NOT provide debit or credit card numbers in this form. If this is not applicable to your report please write n/a in this box and the following boxes.

45. Brand*
46. Model*
48. Serial Number*
49. Color*
51. Quantity of Items Lost/Stolen*
52. Value ($) of Property*
54. Additional Details

    Please provide any additional details that may be pertinent to this report.

56. Photo

    Upload any photographs that are pertinent to this incident.

58. Statement of Truth and Accuracy

    I hereby certify that all of the information that I have provided in this report is, to the best of my knowledge, accurate and true. I hereby agree to assist the police in all investigations and prosecution which may result from the information contained in this report. I hereby certify that I am aware that the information I provide in this report may be presented to a magistrate or judge in lieu of my sworn testimony at a preliminary examination. I acknowledge it is a crime to knowingly provide false information in this online report.

    I have read and agree, and I wish to continue to file this online police report.

60. Signature*

    By typing my name above, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.

Leave This Blank:


62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit Submit and Print

* indicates a required field