Online Crime Report Form

El Dorado County Sheriff's Office Online Crime Report

Identity Theft Crime Report

Identity Theft - If someone obtains money for goods or services by misrepresenting themselves or their business as being legitimate. If someone obtains personal ID for an unlawful purpose including to obtain or attempt to obtain, credit, goods, services or information without the other persons consent. If someone misrepresents themselves as a representative of a business and obtains payment for goods or services that are not performed. If someone obtains money from you as a fee or taxes for lottery winnings that do not exist. If someone uses your ID without your knowledge or consent to obtain credit, goods or services.

NOTE: The "Location of Crime" is the address where you reside. If you do not reside in our county, you will need to contact your local law enforcement agency.

An asterisk (*) designates a required field

* Date(s) Occurred:

(ex: 8/25/2005 or a range 8/26 - 8/27)

* Time Occurred Between:

(ex: 1:00PM to 9:00PM)

* Address Where Crime Occurred:

(ex: 123 MAIN ST)

* City Where Crime Occurred:

(ex: CAMERON PARK) Contact City of Placerville or South Lake Tahoe if occurred within their city limits.

* Victim Name (Full Legal):

(ex: JOHN DAVID SMITH)

* Victim Date of Birth:

(ex: 11/25/1975)

Business Name:
(If Applicable)

(ex: PHIL'S TREE FARM)

* Victim's Mailing Address:

(ex: PO BOX 1234)

*Victim's Physical Address:

(ex: 550 VALLEY ST)

* Victim's City, State, and Zip Code:

(ex: SHINGLE SPRINGS, CA 95682)

* Victim's Home Phone:

(ex: 530-676-0000)

Victim's Work or Cell Phone:

(ex: 530-677-0000)

* Email Address:

(ex: example@gmail.com)

* Description of Crime:
Please be as specific as possible. Describe exactly what happened.
PLEASE NOTE: Your description will be included (word for word) in the permanent official narrative of your report. Please pay attention to your spelling and punctuation.

* Where Crime Occurred:

(ex: FRONT YARD, STREET, HOUSE, etc.)

*Has Your Bank/ Credit Card Notified?:

If YES, what is the name of your Bank/ Credit Card Company?:

Is the Credit Card in your Possession?:

Last 4 digits of the Credit Card:

Property Taken / Lost:
(List Money Values if you did not in your narrative above.)

Description	Make	Model	Serial #	Value
(ex: MP3 Player)	(ex: Dell)	(ex: DJ20)	(ex: 24752456981)	(ex: $220)

LAST STEP (This prevents automated form submission.)

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