City of Gosnell Incident Report

Incident Report

To report an emergency, call 911 (where applicable) or your local law enforcement office. This form is for non-emergency contact only. We will contact you once we have received your submission, if your contact information is provided. If you do not hear from us in 24 hours, please call our office.

5-54-122. Filing false report with law enforcement agency.

(a) As used in this section, "report" means any communication, either written or oral, sworn or unsworn.

(b) A person commits the offense of filing a false report if he or she files a report with any law enforcement agency or prosecuting attorney's office of any alleged criminal wrongdoing on the part of another person knowing that the report is false.

(c) (1) Filing a false report is a Class D felony if:

(A) The alleged criminal wrongdoing is a capital offense, Class Y felony, Class A felony, or Class B felony;

(B) The law enforcement agency or prosecuting attorney's office to whom the false report is made has expended in excess of five hundred dollars ($500) in order to investigate the false report, including the costs of labor;

(C) Physical injury results to any person as a result of the false report;

(D) The false report is made in an effort by the person filing the false report to conceal his or her own criminal activity; or

(E) The false report results in another person being arrested.

(2) Otherwise, filing a false report is a Class A misdemeanor.

COMPLETE AS MUCH INFORMATION AS POSSIBLE. IF YOU NEED ADDITIONAL ROOM FOR OFFENDERS, SUSPECTS, WITNESSES OR PROPERTY INCLUDE THAT INFORMATION IN THE NARRATIVE.
Type of Offense
Choose One
Name*
Address*
City, State, Zip*
Phone Number*
Email
Race*
Gender*
Business Name (if involved)
Incident Information
Date of Incident*

MonthDayYear
Time of Incident*

Hour Minutes

AM/PM Option
Location of Incident*
City, State, Zip*
Offender/Suspect/Witness Information
Choose One*
Name*
Address*
City, State, Zip*
Race*
Gender*
Choose One
Name
Address
City, State, Zip
Race
Gender
Choose One
Name
Address
City, State, Zip
Race
Gender
Property Information
Choose One
Description of Item
Serial/Vin #
Value
Choose One
Description of Item
Serial/Vin #
Value
Choose One
Description of Item
Serial/Vin #
Value
Narrative/Summary of Events*
*Once a report is submitted, you may receive a call from the Gosnell Police Department to acquire further information.
**If this report contains information regarding a juvenile, do not file this report online. Please call so that an officer can take this report either in person or over the phone.
Should be Empty:

Incident Information

Offender/Suspect/Witness Information

Property Information