Jenks, OK

Guidelines for reporting

Guidelines for online reporting:
If you have been a victim of certain crimes and the details of your event meet certain criteria, this form will allow you to self-report the incident. Not all crimes are able to be reported online. To use this system, the following must apply: • The crime must have occurred inside the city limits of Jenks • No one was injured, and NO weapons were involved. If you have met the above criteria, below is a list of crimes that you may report online. Please read the series of questions below to help you determine if your incident qualifies for online reporting. 1. Is this an emergency? a. If Yes, STOP and call 911 immediately. b. If No, continue to the next question. 2. Is the event currently happening (in-progress)? a. If Yes, STOP and call 911 immediately b. If No, continue to the next question. 3. Was your event a violent crime against you or another? (Assault, Robbery, Kidnapping, Sexual Assault, Domestic Violence, etc.) a. If Yes, and the event is not in-progress, STOP and call 918-299-6311 option 0 to report your event. If the event is in progress call 911 immediately. b. If No, continue to next question. 4. Do you have viable suspect information? (You can clearly identify the person or persons who committed the criminal act.) a. If Yes, and the event is not in-progress, STOP and call 918-299-6311 option 0 to report your event. If the event is in progress call 911 immediately. b. In No, please fill out the form Examples of Citizen Crime Reporting: 1. Gas Larceny with NO evidence 2. Criminal Mischief (Vandalism) 3. Damaged, Lost Property 4. Fraudulent Use Of a Credit Card 5. Harassing Phone Calls 6. Identity Theft 7. Pre-Paid Credit / Debit Card Scam 8. Theft 9. Retail Theft
If you have been a victim of certain crimes and the details of your event meet certain criteria, this form will allow you to self-report the incident. Not all crimes are able to be reported online. To use this system, the following must apply:

• The crime must have occurred inside the city limits of Jenks • No one was injured, and NO weapons were involved.

If you have met the above criteria, below is a list of crimes that you may report online. Please read the series of questions below to help you determine if your incident qualifies for online reporting.

1. Is this an emergency?
a. If Yes, STOP and call 911 immediately.
b. If No, continue to the next question.

2. Is the event currently happening (in-progress)?
a. If Yes, STOP and call 911 immediately
b. If No, continue to the next question.

3. Was your event a violent crime against you or another? (Assault, Robbery, Kidnapping, Sexual Assault, Domestic Violence, etc.)
a. If Yes, and the event is not in-progress, STOP and call 918-299-6311 option 0 to report your event. If the event is in progress call 911 immediately.
b. If No, continue to next question.

4. Do you have viable suspect information? (You can clearly identify the person or persons who committed the criminal act.)
a. If Yes, and the event is not in-progress, STOP and call 918-299-6311 option 0 to report your event. If the event is in progress call 911 immediately.
b. In No, please fill out the form

Examples of Citizen Crime Reporting:
1. Gas Larceny with NO evidence
2. Criminal Mischief (Vandalism)
3. Damaged, Lost Property
4. Fraudulent Use Of a Credit Card
5. Harassing Phone Calls
6. Identity Theft
7. Pre-Paid Credit / Debit Card Scam
8. Theft
9. Retail Theft
Warning:
It is a crime to file a false police report.
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Information on the victim

Who is the Victim of this Crime?*
Individual: If you are reporting this for yourself.
Business: If you are responsible for reporting this for your employer, government agency, or your own business.
1. Individual
2. Business
Business Name*
Reporting Party Name*
Business Address*
City*
State*
Zip Code
Business Phone Number*
Email Address*
Reporting Party Name*
Last Name, First Name, Middle Name
Is Reporting Party the Victim*
1. Yes
2. No
Date of Birth*
Ethnicity*
Sex*
1. Male
2. Female
3. N/A
Tribe Affiliation
Roll Number
Height*
Weight*
Eye Color*
Hair Color*
Social Security Number*
Drivers License/Identification Number
DL State
Address*
City*
State*
Zip Code
Phone Number*
Email Address*
Occupation*
Employer*
Employer Address*
Employer Phone
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When did the crime take place?

When did this crime Happen?
This crime happened exactly at *
This crime happened exactly at
This crime happened exactly at
If you don't know exactly when the crime happened
If you don't know exactly when the crime happened Start Date
If you don't know exactly when the crime happened Start Time
—
If you don't know exactly when the crime happened End Date
If you don't know exactly when the crime happened End Time
(FOR EXAMPLE: You go to sleep at 11:00PM on Friday night. You woke up Saturday morning at 7:00AM and find out you are a victim of a crime, the crime happened between Friday at 11:00PM AND Saturday at 8:00AM)
Where did this crime take place?
Address*
City*
State*
Zip Code*
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Property loss/damaged

Possible suspects

Did you or someone else see the suspects commit the crime?
List everyone that saw or may have information about the crime.
Name
Address
Phone Number
Name
Address
Phone Number
Name
Address
Phone Number
Who are the suspects?
Last Name, First Name
Race
Sex
Height
Weight
Eye Color
Hair Color
Clothing Description
Age
Date of Birth
Date of Birth
Address
City
State
Zip Code
Phone Number
Last Name, First Name
Race
Sex
Height
Weight
Eye Color
Hair Color
Clothing Description
Age
Date of Birth
Date of Birth
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Details of the crime

Describe exactly what happened, include all details of the crime. *
I parked my car in the driveway at around midnight. I woke up at 8:00 A.M. and found my car had been broken into. They broke my drivers side front window with a brick to get in and they stole my stereo and my Ipad.
Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) your application 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) you may still be required to provide a traditional signature at a later date.
1. I agree.
Your Signature:
I am the victim or agent of the crime. The information in this report is true. I will assist in the prosecution of those responsible for the crime.
Electronic Signature*
Date*
Date
Warning: It is a violation of both City and State law to willfully make a false Police report.
21O.S. 589 A. It shall be unlawful to willfully, knowingly and without probable cause make a false report to any person of any crime or circumstances indicating the possibility of crime having been committed, including the unlawful taking of personal property, which report causes or encourages the exercise of police action or investigation.
CFS #/Report #
Reviewed by
Date
Date

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