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Annoying Phone Call Report

Incident Location:

Where did this take place?
(a physical address)

Last Name:
First Name:
Sex:
Race:
Date of Birth (MM/DD/YY):
California Drivers License No:
Address:
Apt/ Room/Suite:
City, State, Zip:
Home Telephone Number:
Work Telephone Number:
Other Telephone Number:
Reply E-mail:

The first call was received on:

Date (MM/DD/YY):
Time (24 hour format, i.e. '2315'):

The last call was received on:

Date (MM/DD/YY):
Time (24 hour format, i.e. '2315'):

About how many calls have been received so far, during the time(s) you specified?
Nature of the calls:
If anyone spoke, how old would you describe them to be:
And, based on voice characteristics, they sounded like a:

Comments or additional information (optional; 255 char max.)

	I certify under penalty of perjury that the information I am submitting is, to the best of my knowledge, complete, truthful and accurate. (An officer may call you back if we need more information.) False police reports are a violation of Penal Code Section 148.9.
	I do not know who is responsible for this. (if you do, you must call us to report it).
	To my knowledge, there are no witnesses to this crime (if there are, you must call us to report it).

Now, go back and double-check all your information and hit Submit when you are done.

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