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Graffiti
This is Graffiti to your or another's property.
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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Hispanic, Latino/a/x, or Caribbean
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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Home Address
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Zip Code
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Driver's License Number
Driver's License State
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Business Information
Business Information, if any.
Business Name
Business Address
Business Phone Number
Incident Location Information
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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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Graffiti
Please provide information related to the graffiti involved in this incident.
Type of Graffiti
Location of Graffiti
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Cost to Repair/Clean
Hate/Bias Information
Please provide information related to the Hate/Bias Crime you feel in this incident, if any.
Do you feel this is a hate/bias crime?
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Yes
No
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Disability
Ethnicity/National Origin
Gender/Gender Identity
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Religious
Sexual
Unhoused
If yes, please explain in your narrative of events on why you feel this is a hate/bias crime.
Incident Narrative
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Incident Narrative
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Suspect Information
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Race/Ethnicity
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Hispanic or Latino
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Island
Unknown
White
Age
Gender
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Female
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Hair Color
Eye Color
Height
Weight
Clothing
Vehicle Description
Vehicle License Plate
Name
Date of Birth
Phone Number
Address
Other Info
Documents, Pictures or Videos
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Contact Information
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Mobile Phone Number
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835 California Avenue
North Bend, OR 97459
Phone: 541-756-8500
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