Online Non-Emergency Crime and Incident Reporting Form

Did the incident happen outside the Cumbria area Please select No Yes Does someone require medical attention or is someone in possible danger at the moment? Please select No Yes Is the incident a fraud? Please select No Yes Does the incident relate to inappropriate web content? Please select No Yes Does the incident relate to noise/parking /licensed premises? Please select No Yes

Incident type Please select Theft and burglary Criminal damage Violent and sexual crime Domestic abuse Hate crime ASB Suspicious activity Other

Incident date Incident details If appropriate/necessary we can contact you when the incident has been dealt with, please select your preferred form of communication below. If you would prefer not to be contacted at all please select ‘No Contact’. No contact Preferred by phone Preferred by email Preferred by text message Preferred by person Please let us know the preferred time you would like an officer to contact you Please detail the location where the crime or incident took place

Please supply either telephone number, an email address, or both below. This is important so that we can contact you if we need any further information or need to provide you with an update.

Name Surname Gender Please select Male Female Other Date of birth Address

Did you do any of the below before completing this form today? Please select I called 101, then decided it was more appropriate to report online I called 101, then due to waiting time decided to report online I visited a police station I spoke to an officer in person None of the above – this is the first time I am contacting you Other