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We will follow up on the information provided.” show_year=”off” show_labels=”on” admin_label=”Report a Crime (Form)” form_background_color=”#e5e5e5″ send_conf=”off” conf_page=”148″ inc_flds_conf=”off” smtp_encrypt=”no” smtp_auth=”off” smtp_log=”off” _builder_version=”3.19.4″ custom_button=”on” button_text_color=”#ffffff” button_bg_color=”#971b2f” button_border_color=”#971b2f” button_icon=”%%36%%”][et_pb_kkcompform_field form_html=”no” field_type=”select” select_options=”%91{%22value%22:%22— Select —%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Drugs%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Sexual Assault%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Theft%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Fraud%22,%22checked%22:0,%22dragID%22:3},{%22value%22:%22Threatening/Unusual Behavior%22,%22checked%22:0,%22dragID%22:4},{%22value%22:%22Alcohol%22,%22checked%22:0,%22dragID%22:5},{%22value%22:%22Weapons%22,%22checked%22:0,%22dragID%22:6},{%22value%22:%22Other%22,%22checked%22:0,%22dragID%22:7}%93″ label=”Type of Incident:” field_id=”typecrime” notify=”on” tab_label=”Type of Incident” half_col=”off” required=”on” reqd_txt=”*” _builder_version=”3.19.4″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”no” field_type=”text” text_mask=”off” label=”Explain:” field_id=”explaintypecrime” notify=”on” conditional_logic=”on” conditional_logic_relation=”on” conditional_logic_rules=”%91{%22field%22:%22typecrime%22,%22condition%22:%22is%22,%22value%22:%22Other%22}%93″ tab_label=”Explain” half_col=”off” _builder_version=”3.8.1″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”no” field_type=”textarea” label=”Location of Crime (Location, Building, Room, Area):” field_id=”locationincident” notify=”on” tab_label=”Location of Incident” half_col=”off” required=”on” reqd_txt=”*” _builder_version=”3.19.4″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”no” field_type=”date” label=”Date of Incident:” field_id=”datecrime” notify=”on” tab_label=”Date of Incident” half_col=”on” required=”on” reqd_txt=”*” _builder_version=”3.19.4″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”no” field_type=”text” text_mask=”on” mask=”99:99 aa” label=”Time of Incident:” field_id=”timecrime” notify=”on” tab_label=”Time of Incident” half_col=”on” _builder_version=”3.19.4″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”no” field_type=”radio” stackrad=”off” radio_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ label=”Did you actually witness this Incident?” field_id=”witnesscrime” notify=”on” tab_label=”Witness this Incident?” half_col=”off” required=”on” reqd_txt=”*” _builder_version=”3.19.4″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”no” field_type=”textarea” label=”Description of Suspect(s)/Crime:” field_id=”descriptionsuspect” notify=”on” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22witnesscrime%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”Description of Suspect(s)” half_col=”off” _builder_version=”3.8.1″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”no” field_type=”textarea” label=”Additional Information:” field_id=”additionalinformation” notify=”on” tab_label=”Additional Information” half_col=”off” _builder_version=”3.8.1″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”no” field_type=”radio” stackrad=”off” radio_options=”%91{%22value%22:%22Yes%22,%22checked%22:0},{%22value%22:%22No%22,%22checked%22:0}%93″ label=”Are you willing to allow UTTC Security and/or a Police Officer to contact you?” field_id=”identificationrequest” notify=”on” tab_label=”Identification Request” half_col=”off” required=”on” reqd_txt=”*” _builder_version=”3.8.1″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”fieldset” legend=”Identification” field_id=”identification” conditional_logic=”on” conditional_logic_relation=”on” conditional_logic_rules=”%91{%22field%22:%22identificationrequest%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”Identification (Open)” _builder_version=”3.8.1″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”no” field_type=”text” text_mask=”off” label=”First Name:” field_id=”firstname” notify=”on” tab_label=”First Name” half_col=”on” _builder_version=”3.8.1″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”no” field_type=”text” text_mask=”off” label=”Last Name:” field_id=”lastname” notify=”on” tab_label=”Last Name” half_col=”on” _builder_version=”3.8.1″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”no” field_type=”text” text_mask=”on” mask=”(999) 999-9999″ label=”Phone:” field_id=”phone” notify=”on” tab_label=”Phone” half_col=”on” _builder_version=”3.8.1″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”no” field_type=”email” label=”Email:” field_id=”email” notify=”on” tab_label=”Email” half_col=”on” _builder_version=”3.8.1″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”no” field_type=”text” text_mask=”off” label=”City:” field_id=”city” notify=”on” tab_label=”City” half_col=”on” _builder_version=”3.8.1″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”no” field_type=”text” text_mask=”off” label=”State:” field_id=”state” notify=”on” tab_label=”State” half_col=”on” _builder_version=”3.8.1″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”no” field_type=”text” text_mask=”on” mask=”99999″ label=”ZIP:” field_id=”zip” notify=”on” tab_label=”ZIP” half_col=”on” _builder_version=”3.8.1″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”no” field_type=”text” text_mask=”off” label=”Country:” field_id=”country” notify=”on” tab_label=”Country” half_col=”on” _builder_version=”3.8.1″][/et_pb_kkcompform_field][et_pb_kkcompform_field form_html=”closefieldset” field_id=”identificationclosed” tab_label=”Identification (Close)” _builder_version=”3.8.1″][/et_pb_kkcompform_field][/et_pb_kkcomplex_form]
