Address where the activity occurred:
Where did this happen (ex: Inside the building, parking lot, stairwell, etc):
When did this happen (ex: Tuesday 8 pm parking lot) What happened? (ex: fight, loud argument, etc.):
Tell us about the people involved. (ex: Name, address, age, race, etc. any details that you know.):
Tell us about any vehicle used by the person (ex: Year, color, make, model, license plate, etc.):
Please tell us anything else you think would be useful in helping us deal with this issue:
Can we contact you for more information? If so, please provide a phone number or email address.:
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