NORTH BERGEN POLICE DEPARTMENT
Citizen Crime Complaint Form

Please fill out this form if you wish to report any suspicious or criminal activity in your area.
For faster service you may call the Police Department by telephone.
 

What is the address or location of activity? (i.e. address, intersection, business establishment, etc.)
Between what time did this incident occur?

8:00 a.m. to 4:00 p.m.
4:00 p.m. to 12:00 a.m
12:00 a.m. to 8:00 a.m.

What kind of incident did you observe?

 Was any type of weapons observed?

Yes No
Where does this activity physically take place? (i.e. inside a car, on the street, in a house, in the park, etc)
Are juveniles involved?

Yes No

 Have the police been at this location recently?

Yes No
Do you know the name of the suspect?

 Do you know the suspect's nickname or alias?
Suspect's Sex

 Suspect's Hair Color

 Suspect's Race
Suspect's Build

 Suspect Weight

 Suspect's Height (Feet, Inches)
Suspect's Approximate Age? (Years)

 Facial Hair?

 Any other Description (tattoos, scars, glasses)
Where there other suspects?

Yes No
If Yes, please give a descriptions of other any other suspects:


 
Was there any type of vehicles used during this activity?

Yes No
If yes, state the approximate vehicle year, make, and model?
Vehicle Color

 Body

 Vehicle License Plate

 License Plate State
Additional Vehicle Information (i.e. dents, decals, broken windows, etc.)
Would it be OK for a police officer to contact you?

Yes No
Please provide the following contact information:
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail
Enter any additional comments here: