Online Incident Report

Online Incident Report

East Brunswick Police Department
If this is an emergency please call 9-1-1.

Welcome to the East Brunswick Police Department's Online Reporting System. Our goal is to provide citizens with a convenient method for immediately reporting minor incidents to the East Brunswick Police Department. The process is quick and easy - simply fill out the forms on your computer or mobile device, verify the information is accurate, and submit it for review.

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To be eligible to file an Online Incident Report, ALL of the following MUST BE TRUE:
- NOT an emergency or crime in progress
- Does NOT require immediate police involvement
- Occurred within the Township of East Brunswick
- You are at least (18) years of age
- NOT a Domestic Violence offense (physical, emotional, or verbal abuse / violation of court issued protective order)
- NOT a crime involving a weapon
- Does NOT involve significant property loss
- Does NOT involve loss or theft of firearms, weapons, prescription medication or narcotics
- There is NO physical evidence to be collected (including video surveillance)
- NOT a violent crime (personal assault, kidnapping, robbery)
- NOT a bias incident or hate crime
- NOT a sex crime (rape or sexual assault)
- NOT a stolen motor vehicle or lost/stolen license plate
- NOT an assault resulting in serious injuries (requires hospitalization or medical treatment)
- NOT a traffic crash or accident
I have read the information above and believe this incident is eligible for Online Reporting.*
Your answer indicates that you are attempting to report an incident that does not meet the criteria for online reporting. Call 732-390-6900 to report this incident or 9-1-1 to report an emergency.

You can also make your report in person at Police Headquarters, located at 1 Civic Center Drive, East Brunswick, NJ 08816.

Report Selection
Report Type*
Case Number
If providing a supplement to a previously reported incident, please provide the case number from the earlier incident.
Incident Type*
*Online Reports will not be accepted for incidents involving any occurrence of Domestic Violence offenses.
Does this incident involve damage to or theft from a motor vehicle?*
What was the value of the damage, theft, or loss?*
Is this report for insurance purposes only?*

Reporting Person Information
Reporting Person*

First NameMiddle NameLast NameSuffix
Reporting Person’s Address*

Street Address

Street Address Line 2

CityState

Zip Code
Main Phone #*
Format: (000) 000-0000.
Secondary Phone #
Format: (000) 000-0000.
Email*

Confirmation Email
Date of Birth*

MonthDayYear
Sex*
Race*
Social Security #
Driver’s License #
Driver's License State
Are you responsible for reporting this for your employer, government agency, or your own business?*
Employer Name*
Employer Address*

Street Address

Street Address Line 2

CityState

Zip Code
Employer Phone Number*
Format: (000) 000-0000.

Additional Contacts
I am able to provide contact information for ____ additional person(s) involved in this incident.*
Additional Contact #1

First NameMiddle NameLast NameSuffix
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Format: (000) 000-0000.
Date of Birth

MonthDayYear
Sex
Race
Additional Contact #2

First NameMiddle NameLast NameSuffix
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Format: (000) 000-0000.
Date of Birth

MonthDayYear
Sex
Race
Additional Contact #3

First NameMiddle NameLast NameSuffix
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Format: (000) 000-0000.
Date of Birth

MonthDayYear
Sex
Race

Motor Vehicle Information
Make*
Model*
Type*
VIN*
Year*
Color*
License Plate #*
License Plate State*
Are you the registered owner?*

Incident Details
Incident Date & Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
Incident Location

A valid address within the Township of East Brunswick MUST be entered below. If the incident occurred outside of the Township of East Brunswick, it MUST be reported to the local law enforcement agency where the incident occurred. Reports may be rejected if an invalid address is provided or the incident occurred in another jurisdiction.
Incident Address*

Street Address

Street Address Line 2

CityState

Zip Code
Incident Description*
Police reports should contain accurate, detailed, and informative information about a crime or incident. Effective police reports should always answer the questions who, what, where, when, how, and why. If any of these six questions cannot be answered, the report should contain as much information as possible. Reports that do not contain relevant, detailed, and informative information will be rejected.

Attestation
Filing a false police report is a crime. Any person who gives or causes to be given false information to any law enforcement officer, with respect to the commission of any crime or incident, is guilty of a fourth degree crime under the New Jersey Code of Criminal Justice (2C:28-4). Fourth degree crimes are punishable by a fine of not more than $1,000.00, or by imprisonment for not more than 18 months, or both.
I attest the information provided is true and accurate to the best of my knowledge:*
Signature*
Should be Empty:

Online Incident Report

Report Selection

Reporting Person Information

Additional Contacts

Motor Vehicle Information

Incident Details

Attestation