Town of Middleton - Crime Report System

Weather Forecast

Cannot Pay Online After Due Date

Crime Report System

Printer-Friendly Version


	Welcome to the Middleton Police Department On-Line Crime Reporting System. If this is an Emergency please call 911 This form is designed to make it easier and more convenient for you to report certain crimes and other incidents to the Middleton Police Department. However, not every crime can be reported using the online system. Before continuing please read the following section, if you check any of the boxes, please contact your local police department or call 911.

Choose from the following:

Checkboxes	Checkbox Description	Checkboxes	Checkbox Description
	This is an Emergency		The incident occurred outside the Town of Middleton
	The incident is still happening at this time		You know who the suspect is
	There is a crime scene or other physical evidence

Please provide the following information:

Field Description	Field Data	Required Field
First & Last Name :		required
Email :		required
What time can we contact you :
Street Address :		required
City/Town :		required
Date of birth (MMDDYY) :		required
Preferred Contact Number :
Secondary phone or email address :
When did incident occur ?		required
Where did incident occur ?		required

Type of Crime :

Field Data

I understand that it is a misdemeanor to make a false report of a crime, punishable by fines up to $500 and imprisonment of one year in a House of Corrections (MGL c269 s13A)

Field Data
I ACKNOWLEDGE THE ABOVE STATEMENT

Are you:

Field Data

If reporting on behalf of someone else, please indicate in the window below the person you are reporting for:

-First and last Name
-Street address
-City/Town
-Gender
-Zip Code
-DOB
-Phone Number

Enter property damage information in the sections below:

Enter property and/or vehicle Information for Item # 1.

Enter property and/or vehicle Information for Item # 2

If a vehicle was involved, indicate the following:

Involvement Type - Indicate one of the following
1-Theft from
2-Damaged,
3-Suspect Vehicle

Vehicle Description - Indicate for each category
-Make
-Model
-Color
-Registration Number and State

Also, provide any other additional information

Field Description	Field Data
Please Note: • You may wish to keep a copy of the form for your records before you click submit. • You will be contacted by an investigating officer within 72 hours.