Contact Form

Break-In

Please also file a report with the Ministerio!

Please fill out this form to the best of your ability. Then click Submit at the bottom.  Or if you like  - you can send us an email at info@lakesidecrime.com.   Normally you will receive an email confirmation within 24 hours that your report has been added to the website

Personal Information - We keep this private

Your Name(optional)

Email (required)
Phone Number (optional)
About What Happened
WHO
WHEN
WHERE
  Please let us know general area - perhaps list cross streets.
Do NOT enter your street address.
Entry
How did they gain entry?
Please describe how they gained entry if known.
Were you Home?
Deterrents
Please describe the deterrents you had in place
All Entrances Locked

Alarm System

Alarm System
Any other deterrents?
Based on how entry was gained, are you thinking about future changes?
Value of Stolen Goods
- please specify currency
US Dollars  Candian Dollars   Mexican Peso
Describe what happened
Weapons or Physical Harm - Actual or Threats
To your knowledge, were they armed?

Was there physical harm or the threat of same?

Comments

POLICE
Were police called?
If so, how quickly did they respond

MINISTERIO
Did you file the reports with the Ministerio

 

If you had problems filing a report, please tell us about it.  If you haven't filed a report yet, and experience problems when you do file it, please follow up by email and let us know about the experience.

Comments? Suggestions?

The information you submit will usually be added to the website within 24 hours and we will send you a confirming email when it has been added.Thank you for taking the time to send us a report.