Lakewood Police Department

dbrower@lakewoodpolicenj.com

231 Third Street, Lakewood, NJ, 08701, US

732-363-0200

Section 1 of 6 in this document

Hit and Run Follow up

Traffic Safety Unit

Case Number:

Date Picker

Location of Crash:

Evidence collected at scene

Yes

Description of Evidence

Videos/Photos Available?

Yes

Can Videos/Photos be Emailed?

Yes

Estimated vehicle/property damage:

Over $500.00

Under $500.00

Describe Vehicle/Property Damage in detail:

Section 2 of 6 in this document

Suspect Information

Phone Number

Vehicle Information

Vehicle Make

Vehicle Model

Vehicle Color

Suspect License Plate

Registration Numer:

State of Registration

Section 3 of 6 in this document

Victim Information

Phone Number

Section 4 of 6 in this document

Witness Information

Was there a witness to this crash?

Yes

Phone Number

Were there additional witnesses?

Yes

Phone Number

Were there additional witnesses?

Yes

Phone Number

Were there additional witnesses?

Yes

Phone Number

Section 5 of 6 in this document

Additional Information

Additional information pertinent to the investigation:

Officer Signature & Badge Number

First Name

Last Name

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