INCIDENT REPORT/SUSPICIOUS ACTIVITY FOR DEL AIRE NEIGHBORHOOD

This form should be completed when you see/suspect suspicious activity in the neighborhood. After you have contacted the Lennox Station Sheriff’s Department at (310) 671-7531, please complete the information below.

This document will be saved and used to show the sheriff’s response time and to indicate how the particular matter was resolved.

Reporting Person:
   
Name:

Phone Number:
Email:
Address:
Sheriff Deputy spoken with:
Date/Time of call:
Tag # of call:
Please describe in the space below the suspicious activity or the incident that prompted your call. Please include a
description of the individual(s); license plate number and any other type of details that you observed:

Vehicle Description:

Vehicle Color:

Vehicle Make/Model:
License Plate Number:

Individuals Observed:

Number of Individuals:

Weight of Individual 1:
Height of Individual 1:
Color of Individual 1:

Activity Observed:

Other Comments: