Police Report Example Theft Details

Municipal police departments require officers to document their daily activities and interactions with the public using a police incident form. This form is an officially mandated record of the events that occurred and the actions taken by officers during a specific incident. The information collected on this form can be used to help improve policing strategies, identify problem areas, and track officer performance over time. In order to complete the form accurately and in a timely manner, officers must have access to up-to-date instructions and guidance. This blog post provides an overview of the police incident form fillable, including how to complete it correctly.

This figure contains specifics of police incident form fillable. It is worth spending some time to learn this before starting filling in your document.

QuestionAnswer
Form NamePolice Incident Form Fillable
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesidentity theft police report example, police report sample theft, sample police report for theft, get fillable police template

Form Preview Example

Identity Theft Report

Oakland Police Department

455 7th Street, Oakland, CA 94607

IT IS A MISDEMEANOR TO MAKE A FALSE REPORT OF A CRIME (SEC. 148.5 CALIF. PENAL CODE)

For Department Use Only

Assign To

Police Beat

CP Beat RD No.

 

 

 

Crime (Section-Subsection Code Classification

Victim Information (Please Complete All Boxes / Type or Print in Non-Erasable Black Ink)

Victim

Last, First, Middle

 

 

 

DOB

 

Age

Race

Sex

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Address

City

State / Zip

Home Phone

DL Number

 

 

State

 

 

 

 

 

 

 

 

 

 

 

Work Address

City

State / Zip

Work Phone

Other Contact Information: Other phone, cell phone, pager, mail address

Report Type (PC Section / Description)

 

Date Reported

Time

Day

 

530.5(a) PC / Identity Theft

 

 

 

 

 

 

 

 

Location of Incident

 

Date Started

Time

Day

 

 

 

 

 

Location of Suspect (if known)

 

Date of Last Activity

Time

Day

 

 

 

 

 

 

 

 

 

 

Do you know of any person or have any other information that may indicate who committed this crime? NO

YES (If yes, list below)

 

 

 

Suspect Information (Please Complete All Boxes / Type or Print in Non-Erasable Black Ink)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Suspect

Last, First, Middle

 

DOB

 

Age

 

Race

Sex

HGT

 

WGT

Hair

Eyes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Suspect

Last, First, Middle

 

DOB

 

Age

 

Race

Sex

HGT

 

WGT

Hair

Eyes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AKA / Nickname(s)

 

 

 

 

Relationship to Victim

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Address

 

City

State / Zip

Home Phone

 

 

DL Number

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Work Address

 

City

State / Zip

Work Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPROMISED INFORMATION

Mother’s Maiden Name

 

Savings Account Number

Other

Name

Driver’s License Number

 

Credit Card Number

 

 

 

Address

 

 

 

 

Social Security Number

 

Debit Card Number

 

 

 

 

 

 

 

Date of Birth

 

 

 

 

Checking Account Number

 

ATM Card Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UTILIZED FOR

Mortgage Loan

 

Driver’s License Fraud

Other

In-Store Instant Credit

Cellular Phone Account

 

Employment

 

 

 

 

 

 

 

Credit Card Application

 

 

 

 

Utilities

 

Store/Retail Purchase

 

 

 

 

 

 

 

Automobile Purchase

 

 

 

 

Fraudulent Bank Account

 

Internet / Mail Order Purchase

 

 

 

 

 

 

 

 

 

 

 

 

 

How Was Information Obtained? Unknown Lost Stolen Other

 

 

 

 

If Theft / Burglary, from? Mail

Residence Vehicle Business

Purse/Wallet Other

 

 

 

If Lost/Theft/Burglary, In What City? _____________________________________

Police Report Taken? No Yes. Agency/Case #

______________________________

 

If unknown, have you recently obtained a loan or applied for credit? No

Yes. Where? _________________________________________________________________

*Have you contacted any of the three major credit reporting companies?

No Yes. Which? ______________________________________________________________

Have you obtained copies of your credit reports? No Yes. Which?

___________________________________________________________________________________

 

**Have you placed a fraud alert on your credit? No Yes. Which?

_____________________________________________________________________________________

 

Additional fraud accounts listed on credit report(s)? No Yes. Which?

_______________________________________________________________________________

 

Identity theft information flyer given No Yes

 

 

 

 

 

Attach the following:

Synopsis of incident in chronological order (see reverse).

Photocopy of one of the following: California Drivers License, California ID, Passport Picture ID, or Other

Picture ID

KEEP A PHOTOCOPY OF COMPLETED REPORT WITH YOUR RECORDS

Signature

Date (Month/Day/Year)

*The three major credit reporting companies are listed on the back.

**Instructions for placing a fraud alert are listed on the back.

TF 3253 (3/07)

Oakland Police Department

IDENTITY THEFT REPORT

 

 

REPORT OF ACTIVITY OUTSIDE JURISDICTION

Page 2

Per California Penal Code Section 530.6, a victim of Identity Theft may request a police report with the law enforcement agency that has jurisdiction over his/her actual residency or place of business. The law enforcement agency is required to take the report. If the suspected crime was committed in a different jurisdiction (i.e. suspect using victim’s info to cash checks in other cities), the local law enforcement agency does not have to investigate the case and may refer the matter to the law enforcement agency where the suspected crime was committed for further investigation.

The Oakland Police Department (OPD) will NOT conduct additional or follow-up investigations if the fraudulent activity occurred outside of the City of Oakland. OPD will receive the report you completed involving suspect activity and may forward a copy of this report to the agency or agencies with investigative jurisdiction where the identity theft or transaction(s) are believed to have occurred. An OPD investigator may contact you and direct you where to send any additional information you receive associated with your case. You are advised to contact those agencies directly to inquire about the status of your case. OPD will not have any information about investigations by other agencies.

Identity Theft and Fraud Victim Referral Information

Follow all the steps outlined below and contact the listed companies to reduce damage to your credit records and addi- tional fraudulent activity and assist law enforcement with the investigation.

1.Keep a log or chronology of your case: Write and keep an open chronology of all identity theft and fraudulent activity or

events that occur with your identity theft or fraud case. Start from the date of the first known fraudulent transaction. List each sep- arate transaction and activity by the following: Date, Day, Time, Account, Account Number, Names and Phone Numbers of people you contacted about the fraud. Include a brief topic of all conversations and any work you did. Include as much detail as possible.

Example:

06-10-2006 Thu New credit account used at JCPenney store, Newark CA, #502 644 200 45. My name, address and SSN used. Charges of $1,435.50 made to account. This information was learned from bill and JCPenney customer service on 07-02-04.

07-02-2006 Fri Received first JCPenney statement for Acct. # 502 644 200 45. Called JCPenney to report fraud, 800-555-1234. Spoke to customer service rep “John” about fraud. Account was opened at the store on 06-02-2004. Account closed today.

2.Start a file folder. Keep all bills, statements, correspondence, and mail received for accounts you did not open or author- ize, accounts opened in another name at your address, or accounts using your personal information.

3.You must call each of the following credit reporting bureaus. Only one call is needed to place a “fraud alert” with all three bureaus. You are advised to call each credit bureau and report that you have been a victim of identity theft or fraud. Request a copy of your credit report from each bureau. Request a victim statement be added to your credit file. Ask that your name be removed and “opt-out” of pre-approved offers of credit. If fraud is major, ask about “Security Freeze” on credit files.

Experian

(888) 397-3742

Opt-Out (888) 567-8688

Web site information:

http://www.experian.com

Equifax

(800) 525-6285

Opt-Out (888) 567-8688

Web site information:

http://www.equifax.com

Trans Union

(800) 680-7289

Opt-Out (888) 567-8688

Web site information:

http://www.transunion.com

4.Read your credit reports carefully. Compare each account listed to your accounts and credit.

Contact all financial institutions, merchants, and stores where accounts have been fraudulently opened or created or your accounts accessed without your knowledge. Cancel fraudulent and accessed accounts. Advise each creditor whose new account is fraudulent (Send letters). Ask: a) when, b) where, and c) how the account(s) were opened. Get copies of all credit applications or transaction records. Take notes. You are entitled to copies of all applications and account activity created by an identity theft.

5.Bank and Checking Accounts:

Carefully check your bank, checking, credit, and investment account statements and balances. Contact the bank and get a summa- ry of all recent activity. Alert them you are a fraud victim. You may need to change your account numbers, automated banking (ATM) card number, and Personal Identification Number (PIN). Record date, number called, and whom you spoke to.

6.If your accounts were accessed or if checks were stolen, used, or fraudulently created:

a)You may need to cancel your current accounts and transfer balances to new accounts with a new number. Place stop pay- ments on outstanding checks that have not cleared. Contact the merchants directly where fraudulent checks were used and report the fraud. Dispute charges and request fraudulent checks not go to collection in your name. Send Dispute Letters.

b)Call the major check verification companies. Ask merchants who they use for check verification. If your check(s) or check account information has been used at a merchant, store, or online, contact the verification company used by that merchant.

Check Rite (Global) (800)

234-7800

Check Systems (800) 428-9623

Cross Check (800) 843-0760

National Processing (800)

234-7800

Tele Check (800) 710-9898

SCAN (800) 262-7771

7.Social Security Number fraud: Fraud Hotline: (800) 269-0271 http://www.ssa.gov/pubs/idtheft.htm

8.Mail fraud & Change of Address: Postal Inspectors (800) 275-8777 http://www.usps.com/postalinspectors/

9.Additional resources: a) http://www.privacyprotection.ca.gov/ b) http://www.ftc.gov/idtheft.htm

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