Section 1 of 4 in this document

Report of Lost Property

Please use this form to report Lost Property with NO suspect information. If you have suspect information, contact the Azusa Police Department at (626) 812-3200.

To report a crime in progress dial 9-1-1.

This form is NOT to be used for lost license plates. Please call (626) 812-3200 to report lost license plates.

First Name

Last Name

What form of Identification do you have?

Drivers License / Identification Card

Driver's License / Identification Card #

State

Country

Date of Birth (DOB)

Full Home Address

Address or Location

Primary Phone Number

Additional Phone Number

Confirm Email

Section 2 of 4 in this document

Incident Information

Where did you lose the property?

Address or Location

Occurred between:

Section 3 of 4 in this document

Property Information

Type

Brand

Unknown

Not Applicable

Model

Unknown

Not Applicable

Color

Serial #

Unknown

Not Applicable

Quantity

Value of Item

Descriptive Details

Not Applicable

Do you have pictures/receipts?

Yes

Upload File(s)

DISCLAIMER: Submission of this form does not constitute the completion of a police report. A police report number will be e-mailed to you once the data has been reviewed and approved.

By clicking submit I agree with the following statement:

“I, (the reporting party), swear that, to my knowledge, the information provided is true and factual. I further certify that the submitted information is based upon a criminal offense that occurred within the City Limits of the City of Azusa, CA. I understand that the reported information will be delivered to the Azusa Police Department, which has the discretion regarding further investigation. IF YOU ARE REPORTING AN ACTIVE CRIME REQUIRING IMMEDIATE OFFICER RESPONSE, PLEASE CALL 9-1-1 IMMEDIATELY. I certify that the reported information does not involve an active crime requiring immediate officer response, and understand that a police officer may or may not immediately respond, if at all. ”