Barnstable Police Department - On-Line Complaint Form

Barnstable Police Department - 1200 Phinney's Lane - Hyannis, Massachusetts 02601 - Phone: 508-775-0387

IF THIS IS A EMERGENCY DIAL 911
This form should only be used to make certain types of complaints that do not require an immediate police response.
Barnstable Police may contact you at a later date to follow up.

ON-LINE COMPLAINT FORM

Your Information

Your Name:

(First, Middle Initial, Last Name)

Your Physical Address:

(House Number, Street, Apartment if any)

Your Mailing Address:

(P.O. Box etc.)

Your City:

State: Zip Code: (5 or 9 digits i.e. 00000-0000)

Your Home Phone Number:

(Area Code - Exchange - Number i.e. 000-000-0000)

Your Work Phone Number:

(Area Code - Exchange - Number i.e. 000-000-0000)

Your e-mail Address:

(i.e. youraddress@yourprovider.com .net etc.)

Your Sex:

Male : Female:

Your Race:

(Please Select from List)

Your Age:

Years

Your Date of Birth:

Format (mm/dd/yyyy) Numbers Only

Type of Complaint:

Complaint Information

What kind of complaint are you making? Please Select One:
Animal Bites (no medical attention is needed, animal owner is known)
Attempted Theft of Motor Vehicle
Automobile Break In Break-In
Drive Off Without Paying (from gas stations, restaurants, motels, etc.)
Garage/Shed Burglary
Graffiti
Hit and Run Motor Vehicle Accident (no injury, no tow, no eyewitnesses present)
Larceny (under $250)
Larceny (over $250)
Lost or Missing Property (less than $5,000 and NO FIREARMS)
Obscene or Harassing Phone Calls
Stolen or Missing Bicycle
Stolen or Missing Vehicle Registration Plates
Suspicious Person
Suspicious Vehicle
Vandalism

Date Incident Occurred:

Format (mm/dd/yyyy) Numbers Only

Time Incident Occurred:

Format (hh:mm) Numbers Only - Select a.m. or p.m.

Location of Incident:

State: (i.e. MA) Zip Code: (5 or 9 digits i.e. 00000-0000)

Victim's Name:

(First, Middle Initial, Last Name)( Leave Blank if you are the victim)

Description of Incident:

Point of Entry:

(door, window, wing vent, etc.)

Where Occurred:

(back yard, driveway, side yard, etc.)

Property Description:

Suspect 1 Information:

Suspect 1 Information    ( Leave Blank if No Suspects.)

Race:    Age:    Sex:   Height:   Weight:   Build:

Hair Color:    Hair Style:    Eye Color:

Detailed Additional Information for Suspect 1:

Suspect 2 Information:

Suspect 2 Information    ( Leave Blank if No More Suspects.)

Race: Suspect 1 Description:
   Age:    Sex:   Height:   Weight:   Build:

Hair Color:    Hair Style:    Eye Color:

Detailed Additional Information for Suspect 2:

Suspect 3 Information:

Suspect 3 Information    ( Leave Blank if No More Suspects.)

Race: Suspect 1 Description:
   Age:    Sex:   Height:   Weight:   Build:

Hair Color:    Hair Style:    Eye Color:

Detailed Additional Information for Suspect 3:

Suspect Vehicle Information

Suspect Vehicle Information

If a vehicle was involved in the Incident you are reporting, you can use this form if it was broken into, or if it belongs to a suspect. If you are reporting vehicle involvement, was this vehicle:

Vandalized
Broken Into
Driven by Suspect

If this car was STOLEN, please report it NOW by calling 508-775-0387 Ext. 8.

Vehicle Registration:

State of Registration:

Vehicle Description:

(yyyy) (Ford, Chevrolet, etc.) (Sedan, SUV, etc.)

(If 2-Tone - List Primary Color First) (Dents, Scrapes, Ornaments, bumper stickers, etc.)

Your Comments:

Summary Comments

When we receive your on-line report, we will:
1. Assign it a Report Number
2. Send you the number and a copy of your report via e-mail within two working days and
3. Screen your report for potential investigation.

When you receive this message, you should print it out and save it for insurance purposes. If you would like to give us any comments about our On-line Complaint system, please add them below:

Additional Comments:

Thank You!

Thank you for participating in our new on-line complaint system.
This system is under constant evaluation to make sure it meets the community's needs as much as possible. If you have suggestions for other on-line services that would be of value to you, please send us an e-mail and let us know.

Paul B. MacDonald
Chief of Police

SEND HERE >

Please Click the "Submit Your Complaint Now" button to SEND to the Barnstable Police Department.