Non-Emergency Self-Report
You can self-report the following incidents that have already occurred and suspect information is unknown: Vandalism, Theft, Fraud/Scam, Drug Violations, Lost Property. In-progress incidents, or incidents where a suspect is known should NOT be reported online and instead reported by calling 608-824-7300.
This non-emergency citizen self-report system is an official City of Middleton Police document, which will become part of the official police report for your incident.
You must include your FULL NAME, BIRTHDATE, AND CONTACT INFORMATION for this report to be officially filed. Please provide as much information as possible.
Your self-report form will generally be reviewed within 5 business days, and you will be contacted by email or telephone with your case number, associated paperwork, or for additional information that may be required.
Filing a false police report is a crime (
WI State Statute 946.41
) and violations will be prosecuted. Filing a false report for insurance purposes is a crime (
WI State Statute 943.395
) and violations will be prosecuted.
To file a report using this self-report system, please check to indicate ALL of the following criteria are met. If you're not able to check all boxes, you should call (608)824-7300 to report a non-emergency, or 911 to report an emergency.
*
This is NOT AN EMERGENCY, or in-progress incident.
The incident must have occurred within the City of Middleton police jurisdiction.
The suspect and/or suspect vehicle is unknown.
No injury or force, or threat of injury or force, was used during the incident.
Theft or damage to property loss does not exceed $100.
What type of non-emergency incident are you reporting?
*
Please Select
Civil Dispute (Child custody, property dispute, landlord/tenant)
Damage to Property (less than $100)
Drug Information
Fraud, forgery, identity theft, scams (No financial loss)
Lost Property
Suspicious Person or Vehicle (Belated ONLY)
Theft/Retail Theft (less than $100, NOT including vehicle theft or burglary)
Incident location (Address or intersection where the incident occurred)
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Date and time of incident
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Your Full Name
*
First Name
Middle Name
Last Name
Sex
*
Please Select
Male
Female
Other
Prefer not to answer
Race
*
Please Select
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
Other
White
Prefer not to answer
Your Date of Birth
*
/
Month
/
Day
Year
Date
Your address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Your Email address
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred method of contact
*
Email
Phone
Best time of day to contact you
Was there a business involved:
*
Yes
No
Business Name
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Description of vehicle involved, if applicable
Description of suspect(s) involved, if applicable (NOTE: if you know the identity of the suspect(s), discontinue using this form and call (608)824-7300 to file your report)
Description of property involved, if applicable (please include make, model, serial number, and estimated value)
Incident narrative (please describe in as much detail as possible and in your own words what you are reporting)
*
Witnesses (list any additional people that witnessed the incident you are reporting, or people that may have additional information, along with their contact information)
If applicable, did you give anyone permission to commit this crime against you? (NOTE: the answer to this is important as non-consent is an element of many crimes)
*
Yes
No
Not applicable
If applicable, do you wish to press charges against the person(s) involved in this case?
*
Yes
No
Undecided
Not applicable
Attach any additional materials you would like to include with your report. This may include photographs, videos, electronic documents, etc (accepted file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, mp3, wma, jpg, jpeg, png, gif)
Browse Files
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Sign to acknowledge that the information provided in this report is true and correct to the best of your knowledge.
*
*
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