Last Name *

First Name * Middle Initial

Hokie Passport Number 

vt.edu Email Address      

Students

Local Address*

Permanent Address*

Local Telephone *

Permanent or Cellular Telephone *

Faculty/Staff

Home Address *

Office Address * 

Home Telephone *

Office Telephone *

Cellular Phone 

Type of Crime

Type  * Larceny/Theft Select Type of Crime Vandalism Assault Harassing Phone Calls Computer Harrassment Narcotics/Drugs

(please choose from menu)

Event Specifics

Time of Incident  *  

Date of Incident *  

Location of Incident  *

Description of Incident  * 

Description of items stolen and/or vandalized  

(Include last time it was seen, its value, its serial numbers, etc.)

*Engraving is highly recommended to help identify your belongings.  The Virginia Tech Police Department  has engravers that can be loaned  upon request.

Suspect Information (as known)

Last Name  

First Name  

Height WeightHair Color Eye

Any other suspect information (i.e. vehicle, clothing, etc.)  

Would you like to discuss the report with a police officer? Yes No Choose One If so, an officer will meet with you as soon as the report is processed.  If you do not wish to meet with an officer, the report will be considered "information only" and you will only be contacted should further information develop.