• Incident Type *
    Please choose one of the allowable incident types
  • Location of Incident *
    Please be as accurate as possible as to the location of the incident in Sumter County that you are reporting
  • Premise Type *
    Please choose the best premise type for the incident location
  • Date of Incident *
    MM
    /
    DD
    /
    YYYY
     
    Please list the date of the incident as close as possible. If you're unsure of the exact date then enter the nearest date and in the "Notes" field below please describe the date range the incident may have occurred (ie: incident occurred sometime between 01/01/2011 and 01/31/2011)
  • Time of Incident
    HH
    :
    MM
    :
    SS
     
    Enter the time of the incident if known, otherwise please notate the approximate time or time range in the "Notes" section below
  • Notes *
    Describe the incident as best as possible and include any other pertinent information such as date or time ranges, brand names, description of suspects, etc.
  • Value or Damage Amount
    $
    Dollars
    .
    Cents
     
    *Mandatory for all incidents except Obscene Calls
  • Your Name *
    First
    Last
     
  • Your Email Address *
  • Gender *
    Male
    Female
    (required reporting field by SLED, FBI)
  • Your Address *
    Street Address
    Address Line 2
    City
    State / Province / Region
    Zip / Postal Code
    Country
     
  • Phone
    (###)
    -
    ###
    -
    ####
     
    If you would like for us to contact you by phone to follow up or to get clarifying information on your report please enter a working number we may reach you at
  • Your Date of Birth *
    MM
    /
    DD
    /
    YYYY
     
    (required reporting field by SLED, FBI)
  • Race *
    (required reporting field by SLED, FBI)
  • Ethnicity *
    Hispanic
    Non-Hispanic
    (required reporting field by SLED, FBI)