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2. INSTRUCTIONS

   If you are reporting a crime in progress, or require emergency service, please do not use this form but dial 9-1-1 immediately.

   Use this form to report community concerns about suspicious behavior, or ongoing criminal/drug activity happening in the City of Shaker Heights. Before completing the form, please note:

   • You may choose to remain anonymous at the end of this form. 
   • Please include any observation that leads you to believe criminal activity is occurring. This includes dates/times, locations, any person(s) you believe are involved, telephone number, vehicles, social media account, and any other information that would help us investigate your concern. The information will be reviewed and directed to the appropriate staff member for investigation.
   • If you would prefer to have someone from Shaker Heights Police Department contact you about your submission, you will need to include contact information.
6. Complaint/Tip
8. Date(s) & Time(s)
   Date(s) & Time(s) Start Date

   Date(s) & Time(s) Start Time

   —

   Date(s) & Time(s) End Date

   Date(s) & Time(s) End Time
10. Vehicle(s) Involved

    Include make & plate number if available.

11. Location(s) of Incident/Criminal Behavior
13. Person(s) Involved

    Provide the names of known or suspected person(s) involved. Also include Where can they be found if available.

14. Telephone Number/Social Media Account/Forms of Contact

    If your complaint includes information observed on social media, please include the social media platform (i.e. Facebook, Twitter, etc.) and the “handle” for that person’s account.

16. Details*

    Please include as much detail as you can about the alleged crime/suspicious activity.

18. Media Upload
20. Upload First File

    You may upload 1st photo or video here.

21. Upload Second File

    You may upload a 2nd photo or video here. 

22. Upload Third File

    You may upload a 3rd photo or video here.

    
    

24. Would you like to remain anonymous?*

    1. Yes
    2. No
26. First Name
27. Last Name
29. Address
30. Phone Number
31. Email Address
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field