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2. File a Police Report
   Please note that this form of report only applies to: fraud/larceny, vandalism, scam/annoying/harassing phone calls, computer harassment, drugs, or assaults. All other crimes should be reported directly to the Radford Police Department at 540-731-3624 or by dialing 911 if an emergency. Reports may also be filed in person at the police department. This is a formal report. You are required to enter your name and contact information. Please provide as much detail as possible.
4. Contact Information
6. First Name*
7. Last Name*
8. M.I.
10. Title
    -- Select One --MissMs.Mrs.Mr.Dr.
11. Suffix
    -- Select One --Jr.Sr.
13. Local Address
15. Street Number and Name*
16. Unit Number
18. City*
19. State/Province/Region*
20. Postal/ZIP Code*
22. Country*
    -- Select One --United StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAngolaAnguillaAntarticaAntigua and BarbudaArgentinaArmeniaArubaAshmore and Cartier IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzeck RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropa IslandFalkland IslandsFaroe IslandsFederated States of MicronesiaFijiFinlandFormer Yugoslav Republic of MacedoniaFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGaza StripGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrendaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City)HondurasHong KongHowland IslandHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJan MayenJapanJarvis IslandJerseyJohnston AtollJordanJuan de Nova IslandKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMidway IslandsMoldovaMonacoMongoliaMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern IrelandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcaim IslandsPolandPortugalPuerto RicoQatarRepublic of the CongoReunionRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaScotlandSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSoloman IslandsSomaliaSouth AfricaSouth Georgia and South Sandwich IslandsSouth KoreaSpainSpratly IslandsSri LankaSudanSuriname SvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandThe GambiaTobagoTogoTokelauTongaTrinidadTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVenezuelaVietnamVirgin IslandsWalesWallis and FutunaWest BankWestern SaharaYemenYugoslaviaZambiaZimbabwe
24. Permanent Address

    1. Permanent Address same as Local Address
26. Street Number and Name*
27. Unit Number
29. City*
30. State/Province/Region*
31. Postal/ZIP Code*
33. Country*
    -- Select One --United StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAshmore and Cartier IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzeck RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropa IslandFalkland IslandsFaroe IslandsFederated States of MicronesiaFijiFinlandFormer Yugoslav Republic of MacedoniaFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGaza StripGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrendaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City)HondurasHong KongHowland IslandHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJan MayenJapanJarvis IslandJerseyJohnston AtollJordanJuan de Nova IslandKazakhstanKenyaKiribatiKuwaitKyrgyzstanLoasLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMidway IslandsMaldovaMonacoMongoliaMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern IrelandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcaim IslandsPolandPortugalPuerto RicoQatarRepublic of the CongoReunionRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaScotlandSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSoloman IslandsSomaliaSouth AfricaSouth Georgia and South Sandwich IslandsSouth KoreaSpainSpratly IslandsSri LankaSudanSurinameSvalbardSwaziland SwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandThe GambiaTobagoTogoTokelauTongaTrinidadTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVenezuelaVietnamVirgin IslandsWalesWallis and FutunaWest BankWestern SaharaYemenYugoslaviaZambiaZimbabwe
35. Email Address*
36. Confirm Email Address*
38. Local Phone*
39. Extension
41. Permanent Phone
42. Extension
44. Report Incident
46. Type of Crime*
    -- Select One --AssaultComputer HarassmentHarassing Phone CallsLarceny/TheftNarcotics/DrugsScam/FraudVandalism
47. Time of Incident*
    Time of Incident

    Time of Incident
49. Incident Location
51. Incident Description*
53. Description of items stolen/vandalized or personal injurues
55. Suspect Information
57. First Name
58. Last Name
59. M.I.
61. Title
    -- Select One --MissMs.Mrs.Mr.Dr.
62. Suffix
    -- Select One --Jr.Sr.
64. Height
66. Weight
68. Hair Color
70. Eye Color
72. Additional Suspect Information
74. Would you like to discuss the report with a police officer? If so, an officer will meet with you as soon as the report is processed. If not then the report will be considered "information only" and you will only be contacted should further information develop.

    1. Follow-up
    2. Information Only
76. Electronic Signature Agreement*
    By signing and submitting this form, you agree and acknowledge that 1) your form will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) filing a false report is a crime punishable as a Class 1 Misdemeanor in accordance with of the Code of Virginia.
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78. Submit

* indicates a required field