Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Plainview Police Department Report of Incident

  1. (Notice if you have an emergency or a crime is in progress, dial 911.)

  2. Section A: Details of Offense/Incident

  3. Section B: Reporting Person

  4. Were you injured as a result of this offense/incident?

  5. Section C: Involved Persons

  6. Were you injured as a result of this offense/incident?

  7. Description

  8. Tattoos:

  9. Were you injured as a result of this offense/incident?

  10. Description

  11. Tattoos:

  12. Were you injured as a result of this offense/incident?

  13. Description

  14. Tattoos:

  15. Were you injured as a result of this offense/incident?

  16. Description

  17. Tattoos:

  18. If other persons are involved, explain in "Supplemental Information" Section .

  19. Section D: Vehicles/Property

  20. 1

  21. 2

  22. 3

  23. 4

  24. If other vehicles or property are involved, explain in "Supplemental Information" Section.

  25. Include any information and details relevant to this incident and not previously entered.

  26. Leave This Blank:

  27. This field is not part of the form submission.