Criminal or other suspect activity report
Crime in progress: call 911
Crime committed: call 718- 876-8479 or 718-876-8480
Take or mail report to: 120th Precinct
78 Richmond Terrace
Staten Island, NY 10301

Your name ___________________________________________________________________
(optional, but will be kept private and allow follow-ups)

Dare:_________ Time: ________ Location: _______________________________________

If known, suspect name, nickname/alias, address:____________________________________

_____________________________________________________________________________

Suspect appearance: Male Female Black White Hispanic Other: ____________________

Details of appearance: Complexion____________ Weight___________Height____________

Hair____________ Build____________ Sneakers____________ Mustache____________

Hat/Cap____________ Jacket____________ Beard____________ Shirt____________

Skirt____________ Scar(s) ____________ Pants____________ Dress____________

Glasses____________ Shoes____________ Sweater____________ Other____________

Suspect vehicle? plate number, make, model, year as possible:_________________________

Weapons involved? specify as known:_____________________________________________

Other information:

SGCA April 2010