Online Crime Report

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PALM SPRINGS POLICE DEPARTMENT - 3311
200 SOUTH CIVIC DR., PALM SPRINGS, CA 92262
(760) 323-8116

Special Instructions:

If you are reporting a traffic collision, stolen license plate, stolen vehicle, credit card fraud, ID theft, or residential / commercial burglary, you must contact the Police Department at 760-323-8116 Option 3. Please do not complete this form if you have information on a suspect who committed the crime. You must contact the Police Department directly to file a report.

Please note that indicates required field. These must be completed or the server will reject your report. If you need additional assistance in completing this report, simply click on the HYPERLINKS and more instructions will follow. It is recommended that you print out the instructions form so you have them available as you fill in this form.

Do not Print out this form and mail it into the Police Department. The form must be filled out online and entered with the submit button below. If you mail in the Report it will be rejected.

This is a secure form. The information will only be reviewed by the Palm Springs Police Department Personnel.


Victims' Bill of Rights - Marsy's Law - Click here for information

After you submit this report to the Palm Springs Police Department, it will be reviewed by the staff and forwarded to the appropriate location. Once reviewed, you will receive an e-mail advising you of the file number assigned to your report. Please do not call and ask about the status of your report. If an officer or other staff member needs to contact you, they will do so. You can only report crimes or incidents that occurred in the CITY of PALM SPRINGS with this form.

Thank you.

 

Victim's Information
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 *
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 Victim's Ethnicity:
Incident Information
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Incident Occurred in Palm Springs?
Incident Occurred in Palm Springs?
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 What type of crime are you reporting?
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 *
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The premise type where this incident occurred was:
Vehicle Information
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Was there a vehicle involved?
Was there a vehicle involved?
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Was the vehicle locked?
Was the vehicle locked?
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What type of vandalism occurred?
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What was the point of entry?
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What was the method of entry?
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What was the location of entry?
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Please provide a brief summary of the incident:
Property Information
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Describe what was:
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Description of Property
Article Name QTY Brand/Name Serial Number Misc. Description Value
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What is the total value of all items (described above)?
Reporting Information
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Please enter your name as you would sign your signature:
 *
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What is your E-Mail address?
 *
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Please enter the date of this report:
 *

FOR INTERNAL USE ONLY: 

 

DATE/TIME REPORTED: ____________________________________ DR NUMBER: __________________________ BEAT: ________________________

 

PRINTED BY: _____________________________________________ ID NO.: ______________________________ DATE: _________________________

 

SUPERVISOR APPROVING: __________________________________ ID NO.: ______________________________ DATE: _________________________

By submitting this report you are certifying that the information provided is true and correct to the best of your knowledge. Remember it is a misdemeanor to make a false report of a crime (Sec. 148.5 Calif. Penal Code).
  1. To receive a copy of your submission, please fill out your email address below and submit.