HTML Preview Police Follow Up Report page number 1.
Case number will be assigned by the Police Department.
Horry County Police
Non-Criminal/Follow-Up Report
Date
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Your Last Name Middle Name
Street Address
City
State Zip Code
Home Phone Number
E-Mail
Short Narrative
of Incident:
Work Phone Number
If you would like to print & fax this form, please fax it to 843-248-1886 or you can mail it to P.O. Box 1236,
Conway, SC 29528. Your information will be kept strictly confidential.
Report Type:
First Name
Race Sex: Date of Birth:
Format: MM/DD/YEAR
INCIDENT INFORMATION
Type of Incident: Date:
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Time:
A.M. or P.M.
Incident Address:
Lost Property Involved
Item:
Description:
Serial #:
Value $:
Case #
Print Form
AL
A.M.
P.M.