Lakewood Police Department

dbrower@lakewoodpolicenj.com

231 Third Street, Lakewood, NJ, 08701, US

732-363-0200

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:

Suspect Information

Phone Number

Vehicle Information

Vehicle Make

Vehicle Model

Vehicle Color

Suspect License Plate

Registration Numer:

State of Registration

Victim Information

Phone Number

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

Additional Information

Additional information pertinent to the investigation:

Officer Signature & Badge Number

First Name

Last Name

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