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2. Crime Information (date, tie, location, suspect information, description)*
4. Upload an Image
8. OPTIONAL: Contact Information

   Your submission is completely anonymous unless you fill out this section. If you are able and comfortable, please provide your name and preferred contact information for an officer from Shelbyville Police Department to follow up with any questions. 

10. First Name

    Please Provide Your Legal Name.

11. Last Name

    Please Provide Your Legal Name.

12. Preferred Contact Information

    Examples:

    1.) Call or text : xxx-xxx-xxxx

    2. Email: xxxxx@xxxx.com

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

    This field is not part of the form submission.

18. Submit

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