Police Department - Crime Reporting
BICYCLE THEFT REPORT
This is the online Crime Reporting system. If this is an EMERGENCY, or if a crime is in progress, DO NOT USE THIS SYSTEM! Dial 911!

The following items marked with an asterisk (*) are required for the St. George Police Department to properly file a Crime Incident report.

PERSONAL INFORMATION:

*Your First Name:

 

Your Middle Name:

 

*Your Last Name:

 

*Your Birthdate:

 

*Your Age:

 

 

 

 

*Your Mailing Address:

 

*Your City and Zip Code:

 

*Your Home Phone Number:

 

Your Work Phone Number:

 

Your E-mail Address:

 

Your Driver's License #

 

Driver's License State:

 

*Victim's Name :

 

*Victim's Mailing Address:

 

 

 

 

*Your Gender:

 

M    F

*Your Race:

 

 

White   Black   Asian
Hispanic  Pacific Islander
American Indian    Other

LOCATION, TIME, AND DATE:
Must be within St. George City Limits

*Address where Crime / Incident occurred:

 

 

 

 

*Location where items stolen / lost from (car port, porch, etc.):

 

 

 

 

*Date(s)when crime / incident occurred:

 


*If you are not sure of exactly when the loss occurred, please list the dates that the loss occurred between (i.e., 02/20/05 to 02/25/05).


*If you are not sure of exactly when the loss occurred, please list the times that the loss occurred between (i.e., 8:15 PM to 1:00 AM).

 

 

 

*Time(s)when crime / incident occurred:

 

 



DESCRIPTION OF THE INCIDENT: (NARRATIVE)

 

 

 

DESCRIPTION OF THE BICYCLE THAT WAS STOLEN:


 

 

*Make:

 

*Model Number:

 

Type (Mountain, street, dirt, etc.):

 

*Frame/Serial Number:

 

*Speeds

 

Frame Size:

 

Bicycle License Number:

 

Bicycle License Expiration Date:

 

Other identifying numbers or marks:

 

*Boy's or Girl's?:

 

Boy's Girl's

*Color Frame/Trim:

 

Was the bicycle locked?

 

Yes No

*Value $:

 


WARNING: Knowingly submitting a false Crime Report is a class A misdemeanor under the Utah Criminal Code 41-12a-602, and punishable by up to 12 months in jail, a $2,500.00 fine, or both.

I declare that the information I have provided and the statements I have made in this report are true and correct.