Report Criminal

Police Department

Required fields

Important Notice

Arkansas Code 5-54-122: Filing false report with a law enforcement agency. Report means any communication, either written or oral, sworn or unsworn.

Offense

This is a Required Field. Please Choose an offense. For details see Offense Descriptions.

Offense Descriptions

Date / Time the Offense Occurred

Required

Address / Location Where the Offense Occurred

Address / Location must be within the City Limits of Blytheville AR.

Your Name

Required

Your Address

Required

City

Required

State

Required

Zip

Your Date of Birth

Required

Race

Required

Gender

Required

Ethnicity

Hispanic

Your E-Mail Address

Your Phone Number

Business Name (If Involved)

Business Location

Witness / Suspect

Name

If Known

Address

Date of Birth

If Known

Gender

If Known

Race

If Known

Phone Number

If Known

Witness / Suspect

Name

Address

Date of Birth

If Known

Gender

If Known

Race

If Known

Phone Number

Property

Property Description

Serial Number

Value

Property

Property Description

Serial Number

Value

Upload Supporting Information

PDF, Word, JPG, or PNG up to 10 MB

You can Upload supporting documents or photos.

Narrative

Required

Receive an email copy of this form.

Email address

This field is not part of the form submission.

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