[County of Kauai] Online Report

Section 1 of 4 in this document

KAUA`I POLICE DEPARTMENT

Online Reporting

Temporary Report Number

You will be provided with a Temporary Report Number upon submission.

IF THIS IS AN EMERGENCY PLEASE CALL 911!

PERSONAL INFORMATION

Identifiers

Date of Birth

Driver's License Number and State

Sex

Race

Phone Number

Employer

Work Phone

Section 2 of 4 in this document

INCIDENT DETAILS

Incident Type

Incident Nature

Incident Occurrence

Occurred From

Occurred To

PROPERTY INFORMATION (If Applicable)

Stolen/Damaged Property

Description of Property: Brand, Model, Serial Number, Color, and Value. Be descriptive as possible. Remove Field

Add Additional Property

VEHICLE INFORMATION (If Applicable)

Description of Vehicle

Make/Model - Color - License Plate or VIN Remove Field

Add Additional Vehicle

Section 3 of 4 in this document

Narrative

Upload File(s) (Photos, Documents)

***Filing a False Police report is a crime in violation of section §710-1015 of the Hawaii Revised Statue. False reporting to law-enforcement authorities is a misdemeanor offense.

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First Name

Last Name

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Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Temporary Report Number

Complainant's / Victim's Name

Physical Address

Identifiers

Employer Address

Incident Address

Incident Occurrence

Stolen/Damaged Property

Description of Vehicle

Upload File(s) (Photos, Documents)

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