Page 1 of 1

Report a Crime format

Posted: Tue Feb 04, 2025 2:41 pm
by Hanzel Waldow
 

LOS SANTOS COUNTY SHERIFF'S DEPARTMENT

OFFICE OF THE DETECTIVE | Detective Bureau
CITY OF DAVIS * HALL OF JUSTICE* LOS SANTOS SA 90223


 
DATE OF FILLING
DD/MM/YY
REPORTER NAME
First Name Last Name
GENDER
MALE/FEMALE
PHONE NUMBER
XXXXXX
OCCUPATION
XXXXXX
RESIDENCY
XXXXXX
 
ALLEGED SUSPECT / POI INFORMATION

NO NAME CONTACT NUMBER COMPLETE DESCRIPTION
1 FIRST NAME LAST NAME XXXX
2 FIRST NAME LAST NAME XXXX
3 FIRST NAME LAST NAME XXXX
 
DESCRIBE WHAT, WHERE, WHEN, WHY AND HOW THE SITUATION UNFOLDED
COMPLETE DESCRIPTION HERE
 
SUPPORTING EVIDENCE

EVIDENCE NO. EVIDENCE TYPE EVIDENCE
1 Voice/Camera/Visum et repertum EVIDENCE HERE Image
2 Voice/Camera/Visum et repertum EVIDENCE HERE Image
3 Voice/Camera/Visum et repertum EVIDENCE HERE Image
 
DECLARATION OF AGREEMENTS

I, FIRST NAME LAST NAME, hereby solemnly declare and affirm the following:

I attest that the statements provided herein are truthful and accurately reflect the events as they transpired.

I affirm that all evidence submitted in support of this declaration is authentic, unaltered, and has not been modified or manipulated in any manner.

I fully acknowledge that any falsification or misrepresentation of the aforementioned statement or evidence may result in legal consequences, including but not limited to criminal liability.

I willingly accept full responsibility for the veracity of this declaration and understand that I may be subject to legal action should it be proven that I knowingly provided false information.

This declaration is made in good faith and with a full understanding of the legal implications of any dishonesty or misrepresentation.

Signed:
[Your Name]
[Date]
[Signature]
TITLE

Code: Select all

[Reporter Name] Case Name
CODE

Code: Select all

[block=1,10,10,black,white]

[aligntable=left,0,0,0,0,0,transparent][imgresize=100]https://i.imgur.com/HsK4hya.png[/imgresize][/aligntable][right][aligntable=right,0,0,0,0,0,transparent][/aligntable][/right]
[space]
[aligntable=center,0,0,0,0,0,transparent][size=200][b]
LOS SANTOS COUNTY SHERIFF'S DEPARTMENT[/b][/size]
[size=100]OFFICE OF THE DETECTIVE | Detective Bureau
CITY OF DAVIS * HALL OF JUSTICE* LOS SANTOS SA 90223[/aligntable][/size][hr]


[space][table2=1,85]
[tr]
          [td][b]DATE OF FILLING[/b]
          DD/MM/YY

          [td][b]REPORTER NAME[/b]
          First Name Last Name

          [td][b]GENDER[/b]
          MALE/FEMALE

          [td][b]PHONE NUMBER[/b]
          XXXXXX

          [td][b]OCCUPATION[/b]
          XXXXXX

          [td][b]RESIDENCY[/b]
          XXXXXX
[/table2]

[space]
[center][b]ALLEGED SUSPECT / POI INFORMATION[/b][/center]
[hr]
[table2=1,85]
[tr]
          [td] [b] NO [/b]
          [td] [b] NAME [/b]
          [td] [b] CONTACT NUMBER [/b]
          [td] [b] COMPLETE DESCRIPTION[/b]
[tr]
          [td] 1
          [td] FIRST NAME LAST NAME
          [td] XXXX
          [td] 
[tr]
          [td] 2
          [td] FIRST NAME LAST NAME
          [td] XXXX
          [td] 
[tr]
          [td] 3
          [td] FIRST NAME LAST NAME
          [td] XXXX
          [td] 
[/table2]

[space]
[table2=1,85]
[tr]
          [td] [b] DESCRIBE WHAT, WHERE, WHEN, WHY AND HOW THE SITUATION UNFOLDED[/b]
[tr]
          [td] COMPLETE DESCRIPTION HERE
[/table2]

[space]
[center][b]SUPPORTING EVIDENCE[/b][/center][hr]
[table2=1,85]
[tr]
          [td] [b] EVIDENCE NO. [/b]
          [td] [b] EVIDENCE TYPE[/b]
          [td] [b] EVIDENCE [/b]
[tr]
          [td] 1
          [td] Voice/Camera/Visum et repertum
          [td] EVIDENCE HERE [img]Paste photo link here if any.[/img]
[tr]
          [td] 2
          [td] Voice/Camera/Visum et repertum
          [td] EVIDENCE HERE [img]Paste photo link here if any.[/img]
[tr]
          [td] 3
          [td] Voice/Camera/Visum et repertum
          [td] EVIDENCE HERE [img]Paste photo link here if any.[/img]

[/table2]
[space]
[center][b]DECLARATION OF AGREEMENTS[/b][/center]
[hr]
I, [b]FIRST NAME LAST NAME[/b], hereby solemnly declare and affirm the following:

I attest that the statements provided herein are truthful and accurately reflect the events as they transpired.

I affirm that all evidence submitted in support of this declaration is authentic, unaltered, and has not been modified or manipulated in any manner.

I fully acknowledge that any falsification or misrepresentation of the aforementioned statement or evidence may result in legal consequences, including but not limited to criminal liability.

I willingly accept full responsibility for the veracity of this declaration and understand that I may be subject to legal action should it be proven that I knowingly provided false information.

This declaration is made in good faith and with a full understanding of the legal implications of any dishonesty or misrepresentation.

Signed:
[Your Name]
[Date]
[Signature]
[/block]