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Simple Assault, non-domestic (Updated 2015-02)
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Simple Assault, Non-Domestic
A person is guilty of this offense if they commit an assault on another person.
I am the (select one)
Phone Number including area code:
If you are a third party reporting a crime, please state who you are reporting for:
Location of Incident/Crime:
Common name of place if applicable (ie: Walmart, Trade Wilco, etc.):
Date and Time Incident occurred
Date and Time Incident occurred Start Date
Date and Time Incident occurred Start Time
Date and Time Incident occurred End Date
Date and Time Incident occurred End Time
Description of assault
Include details such as date, time, nature of incident, what what said, sequence of events, etc...
Name of suspect
Phone Number of Suspect
Description of suspect
Enter here any description you can provide of the suspect (ie: height, weight, race, clothing, age, sex, unusual markings such as tattoos or scars, etc) If known, include name of suspect.
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