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Step One

IF YOU HAVE AN EMERGENCY OR "IN-CUSTODY" ACTIVITY, PLEASE CALL 9-1-1 AND DO NOT USE THIS FORM
Welcome to the Missoula Police Department's online non-emergency shoplifting reporting service. This service is provided for your convenience to report non-custodial, non-emergency shopliftings. This online form is for new reports only. Please do not submit supplemental information on this form. Please read all instructions before completing the form. If you have any questions, please contact our 24-hour desk at (406) 552-6300 or your loss prevention liaison officer.
This form is for loss prevention specialists/managers that have been vetted and trained in its use. If you have navigated to this page by mistake but still wish to report a crime, please navigate to the Criminal Report Form. If you are a loss prevention employee and would like further information on this service, contact Officer Ken Wickman (kwickman@ci.missoula.mt.us).
Please fill out the form as completely and as accurately as possible. Please include detailed information, such as serial number, owner applied numbers or other markings, values for lost or damaged property. Also, include any partial information that you may have available. If you need to report more than one type of crime or multiple crimes, please send a separate online form for each event.
Online reports will be sent to our support specialists for review before a case report number is assigned. The case report number will be sent to you electronically if you provided an email address or via the U.S. Postal Service, if an email address is not available once the case is reviewed. The case report number will usually be sent to you within 72 hours of the time your report is submitted. If you would like a printed copy for your records, you will have to respond to the Missoula Police Department located at 435 Ryman St, Monday through Friday, 8:00 AM- 5 P.M. Please bring proper photo identification or the police report cannot be released.
Reminder: If you would like an offical copy of this online report you have to go to the Missoula Police Department located at 435 Ryman St between the hours of 8:00 AM and 5:00 PM Monday through Friday.
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Step Two

Do you already have an incident number? If so, please list that here:
Typle of Crime/Incident
1. Shoplifting
2. Return Fraud
Store Name
Address Where Crime Occurred: (ex. 435 Ryman St)
Crime Occurred Between:
From Date
From Time
And
To Date
To Time
If you know the exact time of the incident, only use the From Date and From Time
LOSS PREVENTION/ASSET PROTECTION AGENT INFORMATION:
First Name
Last Name
Date of Birth *
Gender:
1. Male
1. Female
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Step Three

LOSS PREVENTION/ASSET PROTECTION AGENT INFORMATION, CONTINUED
Email Address:*
Confirm Email:*
Work Phone:*
Cell Phone:
Home Phone:
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Step Four

WITNESS INFORMATION (If different from above)
First Name
Last Name
Date of Birth:
Age:
Gender:
1. Male
1. Female
Street Number
Street Name
Street Type
Apt #
City
State
Zip
Email Address:
Home Phone Number:
Cell Phone Number:
Is the witness an employee? If so, what is their position with the business?
Are there additional witnesses?
1. Yes
2. No
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Step Five

ADDITIONAL WITNESSES
First Name
Last Name
Date of Birth
Age:
Gender:
1. Male
1. Female
Street Number
Street Name
Street Type
Unit number
City
State
Zip
Email
Cell Phone
Home Phone
Is the witness an employee? If so, what is their position at the business?
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Step Six

SUSPECT VEHICLE INFORMATION
License Plate Number:
Vehicle License State:
Vehicle Make:
Vehicle Model:
Vehicle Year:
Vehicle Color(s)
Vehicle Type:
1. Passenger Car
2. Standard Truck
3. Semi Truck
4. Motorcycle
5. Other
Describe "Other"
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Step Seven

Have you identified a suspect?
Any suspect identification needs to supported. This could include how you developed the name/identity of the suspect, including sources (people and resources you used).
What suspect information do you have?
1. I have a name or partial name
2. I have a vehicle license plate or description
3. I have video or photos
4. I have other information which may lead to an ID
5. I have no information to follow up
Please select all that apply.
Suspect Name/Partial Name
What information do you have for us to locate the suspect?
Other identifying information
License Plate
Vehicle Description
Suspect Information
Provide all information you have on the suspect(s) identities or leads on how to determine their identities.
What other information do you have?
Who do we contact for the video?
Description of crime/incident: (Be detailed, and answer who, what, where, when, why, and how)
Narrative Description of Crime:*
Description of Lost/Stolen Property: (include color, make, model, unique markings or flaws, etc. *This is mandatory if your property was lost or stolen.) Serial numbers and value of item should be entered below.
Please enter any serial numbers here:
For theft and criminal mischief, please estimate the value, in US Dollars, of the loss.
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Step Eight

Document Upload
Upload stills of photographs, store reports, etc. Do not upload video or affidavits requiring a notary.
Document #2 Upload
Document #3 Upload
Is there video available>
1. Yes, and I have/will upload to the portal
2. Yes, I will call when ready to be picked up
3. No video available
If being picked up, who is the contact person for video?
Do you already have an incident number? If so, please list that here:
I swear or affirm that this information is true and correct:*
1. Yes
2. No
Your Signature is Required: (Please enter your name, as you would sign your signature)
Reminder: If you would like an official copy of this report you have to go to the Missoula Police Department located at 435 Ryman Street between the hours of 8:00 AM and 5:00 PM Monday through Friday.

Leave This Blank:

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

This field is not part of the form submission.
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