Middlebury Police Department

Preventing Crime, Enforcing Laws, Supporting Public Safety

This form is not meant to replace the standard reporting procedure. If you are the victim of a crime or have witnessed a criminal act, please call 825-9111, or for emergencies dial 911.

Where did the event occur, if possible, please give a very specific location
When did it occur?
<February 2012>
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Please describe the event in question with as much detail as you can
Describe all persons involved with as much detail as possible
List any witnesses
You may list your personal information if you wish 
Your Name
Your e-mail address
Your phone #
May we contact you for more information?