ATLANTA POLICE DEPARTMENT

Citizen Reporting Form for Crime

Helping Us Police Your Community

Zone phone #:
Other phone #:

What happened (Unsolved Crime)?

Weapon used:

gun

knife

none

other

Please describe the crime situation: (victims, perpetrators & location)

Drug Selling	Kidnapping	Assault	Robbery	Gang Activity	Other
Liquor House	Homicide	Arson	Larceny	Lease Violation
Child Abuse	Prostitution	Rape	Burglary	Gun Possession/ Sales

Where did the Crime take Place?
Street Address & Apartment #
If a Vehicle was involved list	Tag #	Color	Make	Model

Type of Location:

House

Apartment

School

Park

Wooded Area

Parking Lot -

Other -

When?

Month

Day

Year

Time of Crime

am

pm

Who is involved in the crime?

Suspect 1 Suspect’s Name (nickname):

Suspect’s Address:

Sex:	Male	Female	Unknown	Age:	Weight:	Height:
Race:	White	Black	Hispanic	Asian	Indian	Unknown	Hair Color

Suspect 2 Suspect’s Name (nickname):

Suspect’s Address:

Sex:	Male	Female	Unknown	Age:	Weight:	Height:
Race:	White	Black	Hispanic	Asian	Indian	Unknown	Hair Color

May we please contact you regarding the information above? yes no If yes, complete below
Name (optional):	Phone
Address:

For Atlanta Police Department use: Control #______

Form APD 335 Revised 12/10/02

Atlanta Police Department

AJordan

2003-01-31

Atlanta Police Department