2. 
3. Kinston Police Department Records Division
   205 E. King St. Kinston, NC 28502, (252) 939-3160 / (252) 939-3220
5. Official Incident/Investigation Report
   (To be hand delivered, faxed to (252)939-3790 or emailed to Police.Records@ci.kinston.nc.us) With an effort to provide more efficient and effective police and fire service our department is implementing self-generated reports. These reports will be available at the Kinston Police Department and on our website. These reports will allow citizens and visitors of our community to file police reports with quickness and ease. Reports for incidents within the city limits of Kinston will be taken. The report is to be filled out and signed by the reporting person. It is very important to leave an accurate address and contact number so if follow-up investigation is necessary, the appropriate division will be able to do so. All cases will be investigated in the same manner as if an officer were taking the report. Each will be reviewed by an officer and supervisor for appropriate attention. Victims/Reportees may obtain copies of the completed report two days after filing through this method.
7. What type of crime or incident are you reporting?*
11. Information needed for Incident Report
13. Date/Time of Incident:*
    Date/Time of Incident:

    Date/Time of Incident:
14. Location of Incident
    If address is not known.
16. Address of Incident:
18. City
19. State
20. Zip Code
22. Date/Time Found
    Date/Time Found

    Date/Time Found
23. Date/Time Last Known Secure*
    Date/Time Last Known Secure

    Date/Time Last Known Secure
27. Reporting Person Information
29. First Name*
30. Middle Name
31. Last Name*
33. Address*
35. City*
36. State*
37. Zip Code*
39. Phone Number*
40. Email Address
42. Reporting Person’s Race*
43. Sex*

    1. Female
    2. Male
44. Ethnicity*
46. Relationship to Offender*
48. Reporting Person’s Employer’s Name
49. Phone Number
51. Address
53. City
54. State
55. Zip Code
59. Please describe the incident or crime that occurred.*
63. Suspect Information

    1. Suspect Unknown

    Check box if you do not know suspect.
65. First Name
66. Last Name
68. Date of Birth
69. Race*
71. Sex*

    1. Female

    1. Male
72. Ethnicity*
74. Address
76. City
77. State
78. Zip Code
80. Phone Number
82. Description of Suspect*
84. Suspect's Employer Name
85. Phone Number
87. Address
89. City
90. State
91. Zip Code
95. Please fill out the information below on any additional victims, suspects, witnesses or others involved.
97. Person Involvement Type
    -- Select One --Suspect VictimWitness
99. First Name
100. Last Name
102. Date of Birth
103. Race
105. Sex

     1. Female

     1. Male
106. Ethnicity
108. Address
110. City
111. State
112. Zip Code
114. Phone Number
115. Relationship to Offender
117. Employer's Name
118. Phone Number
120. Address
122. City
123. State
124. Zip Code
126. Person Involvement Type
     -- Select One --SuspectVictimWitness
128. First Name
129. Last Name
131. Date of Birth
132. Race
134. Sex

     1. Female

     1. Male
135. Ethnicity
137. Address
139. City
140. State
141. Zip Code
143. Phone Number
144. Relationship to Offender
146. Employer's Name
147. Phone Number
149. Address
151. City
152. State
153. Zip Code
157. Vehicle Information
159. Additional Information
Leave This Blank:


161. 1. Receive an email copy of this form.
162. Email address

     This field is not part of the form submission.

163. Submit

* indicates a required field