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2. Did this crime take place in Rio Rancho?*

   1. Yes
   2. No
4. READ CAREFULLY BEFORE PROCEEDING WITH THIS FORM
   Do not fill out this form if the crime you are reporting did not take place in Rio Rancho. If you are reporting a vehicle or residential burglary, a stolen vehicle, or stolen license plates, please call (505) 891-7226, the Rio Rancho Police Department's non-emergency number.
6. File Upload

   Please attach any relevant document or image pertaining to the crime.

8. INITIALS*
   After you have read and understood the section above, please enter your initials here.
10. TYPE OF CRIME*

    1. Criminal Damage: When an unknown person damaged, or vandalizes any of your property without going into your vehicle or residence (example -your property is egged, or spray painted)
    2. Shoplifting under $500 with no suspect information: Example - you own or manage a local business and an unknown person took items without paying for them
    3. Falsely obtaining services: Example - you believe someone is stealing water (or some other service) from your property and that is reflected on your bill
    4. Larceny: An unknown person took something that belongs to you without entering your vehicle or residence (example - a bicycle (or any other item) was removed from your yard and you have no idea who to
    5. Fraud: An unknown person used deception to take money or resources from you (example - scams and credit card issues)
    6. Harassment
    7. Informational Reports: When a citizen wishes to inform the Police Department about any issue (excluding the list of things not covered by this form), even if the issue does not involve a crime

    Please select what type of crime you are reporting.
14. DATE AND TIME OF CRIME/INCIDENT*
    DATE AND TIME OF CRIME/INCIDENT

    DATE AND TIME OF CRIME/INCIDENT
16. STREET ADDRESS WHERE CRIME/INCIDENT OCCURRED*
18. CITY (must be Rio Rancho)*
20. ZIP CODE*
24. BUSINESS NAME (if applicable)
26. BUSINESS ADDRESS
30. VICTIM/REPORTING PARTY FIRST AND LAST NAME*
32. DATE OF BIRTH*
    DATE OF BIRTH
34. HOME ADDRESS*
36. CITY*
38. STATE*
40. ZIP CODE*
42. MAIN CONTACT NUMBER*
44. ADDITIONAL CONTACT NUMBER
46. EMAIL ADDRESS*
50. CREATE A LIST OF YOUR LOST, STOLEN, OR DAMAGED PROPERTY, THEN EXPLAIN WHAT HAPPENED IN THE NARRATIVE SECTION BELOW.
52. LOST, STOLEN, OR DAMAGED
    -- Select One --LostStolenDamaged
54. QUANTITY
56. ARTICLE TYPE AND/OR BRAND
58. REPLACEMENT OR REPAIR COST (if applicable)
60. LOST, STOLEN, OR DAMAGED
    -- Select One --LostStolenDamaged
62. QUANTITY
64. ARTICLE TYPE AND/OR BRAND
66. REPLACEMENT OR REPAIR COST (if applicable)

70. In the statement below, please list additional items lost, stolen, or damaged. Be sure to include the replacement or repair cost for the item(s) being reported.

72. NARRATIVE/WITNESS STATEMENT*
76. YOUR SIGNATURE*
    I believe the information I have provided is correct. Please enter your name as you would sign your signature. Please remember it's a misdemeanor to make a false report of a crime. State statute: 30-39-1.By submitting this form: I understand it is a criminal offense to file a false report to police. This report/form will be submitted over the City of Rio Rancho's Website. Please do not include sensitive information such a Social Security numbers, etc. After completing this form, please save a copy for your records.
Leave This Blank:


78. 1. Receive an email copy of this form.
79. Email address

    This field is not part of the form submission.

80. Submit

* indicates a required field