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City of Oconomowoc Police Department Statement Form

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Steps

1. Step One This section is complete This section is incomplete
2. Incident Statement This section is complete This section is incomplete

Step One

Incident Report Number:*
Incident Date:*
Incident Time:
Incident Location:*
First Name and Middle Initial*
Last Name*
Address1*
City*
State*
Zip*
Type of Phone*
Select Type of Phone
Phone Number*
Email Address
Juvenile
1. Yes
2. No
Select Yes or No
Parent Full Name
If Juvenile Answer is Yes, Then Complete
Continue

Incident Statement

Directions
Please Write Detailed Statement Regarding Incident. Attempt to Use Full Names of Any Subjects, Along with Address Information in the Narrative.
Written Statement*
Please write a detailed statement regarding the incident. Attempt to use full names of any subjects, along with address information in narrative.
Officer Signature __________________________________