Station House Report | Euclid Police – 545 E 222nd St

Note: There are certain incidents that cannot be made on a station house report. Any crime that is a felony must be made by calling the police department and having a police officer come out to take the report, or you can come to the police station to report the incident to an officer. This station house report of a police incident is taken from the person reporting only as a convenience. It should be understood that no police investigation will normally follow but the information on this report will be on file for whatever purpose it may fulfill.

Nature of Incident
Date*
MM slash DD slash YYYY
Time*

: Hours

Minutes

AM/PM
Location of Incident*
Reported to Police by*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Birthdate*
MM slash DD slash YYYY
Please describe in detail the manner in which the incident occured.*
Other Person Involved
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Date of Birth
Month
Day
Year
Phone
Other Person Involved
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Date of Birth
Month
Day
Year
Phone
Description of Property & Value
Owner of Property
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Phone
Date of Birth
Month
Day
Year
Vehicle Information
Make
Model
Year
License Plate No.
VIN
Description of Property
- Damaged
- Lost
- Stolen
Photo Upload
Drop files here or

Accepted file types: jpg, gif, png, Max. file size: 2 MB.
If you have photos that pertains to this report, please upload them here.
- Check this box if this report is being filed for insurance purposes ONLY
Note:
This report of a police incident is taken from the person reporting only as a convenience. It should be understood that no police investigation will normally follow but the information on this report will be on file for whatever purpose it may fulfill.
Email Address*
Email
This field is for validation purposes and should be left unchanged.

Please note that this form will be submitted to the Euclid Police Department.

According to Ohio code 2921.13 Falsification:

(A) No person shall knowingly make a false statement, or knowingly swear or affirm the truth of a false statement previously made, when any of the following applies:

(1) The Statement is made in any official proceeding.

(2) The statement is made with purpose to incriminate another.

(3) The statement is made with purpose to mislead a public official in performing the public official’s official function.

Other Person Involved

Other Person Involved

Owner of Property

Vehicle Information

Note:

Please note that this form will be submitted to the Euclid Police Department.