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Trespassing
Report incidents of trespassing
Reporting Person Information
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First Name
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Middle Name
Last Name
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Date of Birth
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Racial/Ethnic Identity
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Black, African, or African American
Hawaiian or Pacific Islander
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Middle-Easterner or Arab
Multiracial or Mixed
Native American or Indigenous
White or Caucasian
Another
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Gender/Gender Identity
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Phone Number
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Email Address
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Confirm Email Address
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Home Address
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Zip Code
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Driver's License Number
Driver's License State
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Incident Location Information
Please provide location information related to the incident.
Incident Location
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Please provide date and time information for which the incident occurred.
Beginning Timeframe
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Ending Timeframe
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Incident Narrative
Describe your incident here, and please be as detailed as possible.
Incident Narrative
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Documents, Pictures or Videos
Please provide any Documents, Pictures or Videos to Support your Case
Contact Information
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E-Mail Address
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Mobile Phone Number
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Filing a false police report is a crime (ORS 162.375). Please review your information above.
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835 California Avenue
North Bend, OR 97459
Phone: 541-756-8500
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