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Provide a supplemental crime report

IF THIS IS AN EMERGENCY CALL 911!
You may use this form if: • This is not an emergency • This is not an in-progress crime • This incident occurred either within Cascade County or within the city limits of one of our contract towns, Belt or Cascade • There was no seizable evidence left behind • You are the victim of the crime • You must have a valid e-mail address • Misdemeanor incidents only ($1,500 or less, if applicable) • You have already filed a report and received an Incident Report number.
Limitations Acknowledgement*
I have read and understand the limitations of what may be reported through this system.
1. I agree that my report meets the criteria listed above.
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Your information is required to file this report.
First Name*
Last Name*
Middle*
Social Security Number (111-22-3333)
Date of Birth (MM/DD/YYYY)*
Address*
City*
State*
Zip Code*
Phone Number*
Email Address*
Original Incident Report Number (####-#####)*
Must be input with the format shown above. Example: 2022-00123
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Please select the type of crime that you are reporting*
When did the crime occur?
When did the crime occur?
When did the crime occur?
Please provide approximate dates and times
End Date
End Date
End Date
Please provide approximate dates and times
Do you have information regarding the suspect(s) who committed the crime?
How many suspects were involved with the crime?
Was a vehicle involved in the crime?
Where did the crime occur?
Address
City
State
Zip Code
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How many items were stolen or found?
If you have more than 8 items you will need to attach a document containing relevant information.
Make
Model
Serial Number
Value
Description
Make
Model
Serial Number
Value
Description
Make
Model
Serial Number
Value
Description
Make
Model
Serial Number
Value
Description
Make
Model
Serial Number
Value
Description
Make
Model
Serial Number
Value
Description
Make
Model
Serial Number
Value
Description
Make
Model
Serial Number
Value
Description
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Vehicle Type
Owner
License Number
State
VIN
Make
Model
Year
Color
Distinguishing Features
Vehicle Damage
Vehicle damage. Include what was damaged and the estimated costs.
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Do you have photographs that you wish to provide?
Do you have additional information that you would like to provide?
Spreadsheet of items, letters, documents
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False Report Acknowledgement*
45-7-205. False reports to law enforcement authorities. (1) A person commits an offense under this section if the person knowingly: (a) gives false information to any law enforcement officer with the purpose to implicate another; (b) reports to law enforcement authorities an offense or other incident within their concern knowing that it did not occur; or (c) pretends to furnish law enforcement authorities with information relating to an offense or incident when the person knows that the person has no information relating to the offense or incident. (2) A person convicted under this section shall be fined not to exceed $500 or be imprisoned in the county jail for any term not to exceed 6 months, or both.
1. I agree.
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Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) your report will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature*
Please allow up to 72 hours for a response.

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