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If you have information regarding a crime or incident that occurred in the Town of Kernersville please fill out the following form. If you wish to remain anonymous you may, but if not, your identity will be kept confidential.
Please Provide As Much Information As Possible Below
Incident / Crime:
Arson/Suspicious Fire
Breaking and Entering to Auto
Breaking and Entering to Business
Breaking and Entering to Residence
Child Neglect/Abuse
Counterfeiting
Damage to Property
Domestic Violence
Forgery/Fraud/Embezzlement
Gambling Violations
Homicide
Larceny
Missing Person
Motor Vehicle Theft
Narcotics Violations
Other Crimes
Rape/Sex Offenses
Robbery
Suspicious Circumstances
Wanted Persons
Incident Date:
Location:
Person of Interest
Name:
Alias:
Date of Birth:
Age:
Sex:
Male
Female
Race:
White
Black
Hispanic
Asian
Other
Physical Description:
Address:
Vehicle Involved
Year:
Make:
Model:
Color:
Other Persons Involved
Information About This Case
Your Contact Information
Your Name:
Your Email Address:
Your Phone Number:
Do you wish to be contacted by a Detective?
Yes
No
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