Submit a Report to NCIC

 

    Please Provide your name and email address.

    Incident Details

    N/ARobberyBurglaryCounterfeitBad ChecksUSPSFedEx/UPSTheftEbayFraud

    Date of Offense

    Hour: Min:AMPM

    Date Offense Reported

    Hour: Min: AMPM

    Offense Details / Intelligence Information:

    About the victim

    N/ACollectorDealerInvestorIndividual

    Location

    N/AResidenceBusinessAt Numismatic EventTraveling to Numismatic EventTraveling from Numismatic Event

    Loss:

    Other - Please fill out box below.CollectionBusiness InventoryInvestmentU.S. CoinsU.S. CurrencyForeign CoinsForeign CurrencyBullionTokens/MedalsAncient

    Other Loss:

    Amount of Property Loss: (U.S.Dollars)

    Inventory / Property Type:

    N/AWholesaleRetail

    Insured:

    N/AYesNo

    Description of Property Stolen: (Key Items)

    Victim's Contact Information

    Business Contact Information

    Suspect Information

    Vehicle Year

    Vehicle Make

    Vehicle Model

    Vehicle Model

    Investigating Agency:

    Investigator Assigned:

    Investigator's Phone Number:

    Agency Report Number: