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Step One

Citizen Self-Report
- The citizen self-report form is an official City of Sun Prairie Police document, which will become the official police report for your incident. If you have insurance coverage, this form will assist you in filing a claim. You must include your FULL NAME, BIRTHDATE, AND CONTACT INFORMATION for this report to be officially filed. Please provide as much information as possible.
- This self-report form will expire after two hours if not submitted. Please create an account to save the form if you choose to work on it at another time.
- Your self-report form will be reviewed within 5 business days. If requested, you will be contacted by telephone or email with your case number, associated paperwork, or for additional information that may be required.
- Filing a false police report is a crime (WI State Statute 946.41) and violations will be prosecuted. Filing a false report for insurance purposes is a crime (WI State Statute 943.395) and violations will be prosecuted.

* indicates a required field
Please Answer the Following Question(s):
Did this incident occur outside of the City of Sun Prairie?*
Do you know the name of the suspect and/or the license plate for the suspect's vehicle?*
Was injury caused, force used, or the threat of injury or force during this incident?*
Does the value of property stolen or damaged exceed $2,500, or $500 for retail theft?*
Because you answered YES, do not complete this form and contact the Sun Prairie Police Department at (608) 837-7336.
Learn more
To file a citizen self-report form online, the incident must meet the following criteria:
Occurred within the City of Sun Prairie Police jurisdiction
The suspect and / or vehicle is unknown
No injury or force was used during the incident, or threat of injury or force
Theft or damage to property does not exceed $2,500, retail theft does not exceed $500
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Step Two

Case Number:
Case Disposition:
Date Reviewed:
Date Reviewed:
Reviewer:
Please Indicate an Incident Type:*
When Did the Incident Begin and End:*
When Did the Incident Begin and End: Start Date
When Did the Incident Begin and End: Start Time
—
When Did the Incident Begin and End: End Date
When Did the Incident Begin and End: End Time
For ongoing situations, use today's date as the end date.
Location Where Incident Occured:
Please Choose from the Following Options:*
House Number:
Direction:
Street Name:
Unit/Apartment #:
Street Name:
Closest Intersecting Street:
Write In location:
Be as descriptive as possible.
City:*
Incident must have occurred within the City of Sun Prairie, WI.
Your Information:
First Name:*
Middle Name:
Last Name:*
Sex:*
Race:
Birthdate*
Birthdate
Your Address:
House Number:
Direction:
Street Name:
Unit/Apartment #:
City:
State:
Zip Code:
1. Check here if you have no permanent address.
Your Contact Information:
Email Address:*
Phone Number:
Best Time to Contact You:
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Add Business

Involved Business
1. Check here to add a business (skip if not applicable)
Business Name:
Are you the Business Owner?
Are you the Property Owner?
Property Owner Name:
Business Address:
Unit / Suite Number:
City:
State:
Zip Code:
Additional Business
1. Check here to add an additional business (skip if not applicable)
Business Name:
Are you the Business Owner?
Are you the Property Owner?
Property Owner Name:
Business Address:
Unit / Suite Number:
City:
State:
Zip Code:
Additional Business
1. Check here to add an additional business (skip if not applicable)
Business Name:
Are you the Business Owner?
Are you the Property Owner?
Property Owner Name:
Business Address:
Unit / Suite Number:
City:
State:
Zip Code:
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Add Vehicle

Involved Vehicle
1. Check here to add a vehicle (skip if not applicable)
Vehicle is:*
License Plate Number:
License Plate State:
Vehicle Identification Number (VIN):
Vehicle Year:
Vehicle Make:
Vehicle Model:
Body Style (2 door, 4 door, SUV, truck, etc):
Vehicle Color:
Additional Vehicle Description:
Additional Involved Vehicle
1. Check here to add an additional vehicle (skip if not applicable)
Vehicle is:*
License Plate Number:
License Plate State:
Vehicle Identification Number (VIN):
Vehicle Year:
Vehicle Make:
Vehicle Model:
Vehicle Type (2-door, 4-door, SUV, truck, etc):
Vehicle Color:
Additional Vehicle Description:
Additional Involved Vehicle
1. Check here to add an additional vehicle (skip if not applicable)
Vehicle is:*
License Plate Number:
License Plate State:
Vehicle Identification Number (VIN):
Vehicle Year:
Vehicle Make:
Vehicle Model:
Vehicle Type (2-door, 4-door, SUV, truck, etc):
Vehicle Color:
Additional Vehicle Description:
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Suspect Information

Involved Suspect
1. Check here to add a suspect description (skip if not applicable)
If you know the identity of the suspect, please call 608-837-7336, and do not use this form.
Sex:
Race:
Age Range:
Height:
Weight:
Build:
Hair Color:
Hairstyle:
Eye Color:
Facial Hair:
Glasses:
Tattoos / Piercings / Identifying Features:
Describe Tattoos / Piercings / Identifying Features:
Clothing / Additional Description:
Additional Involved Suspect
1. Check here to add an additional suspect description (skip if not applicable)
Sex:
Race:
Age Range:
Height:
Weight:
Build:
Hair Color:
Hairstyle:
Eye Color:
Facial Hair:
Glasses:
Tattoos / Piercings / Identifying Features:
Descibe Tattoos / Piercings / Identifying Features:
Clothing / Additional Description:
Additional Involved Suspect
1. Check here to add an additional suspect description (skip if not applicable)
Sex:
Race:
Age Range:
Height:
Hairstyle:
Eye Color:
Facial Hair:
Glasses
Tattoos / Piercings / Identifying Features:
Describe Tattos / Piercings / Identifying Features:
Clothing / Additional Description:
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Property (such as damaged, lost, or stolen items):

Involved Property
1. Check here to add property (skip if not applicable)
Owner:*
Identify Other Owner:
Status:*
Quantity:
Property Description:
Brand:
Model:
Serial Number:
Color:
Engravings or Unique Markings:
Value:
Is the Property Insured?
Insurance Company Name:
Additional Item Information:
Did you give anyone consent to take or damage the property?*
Additional Involved Property
1. Check here to add additional property (skip if not applicable)
Owner:*
Identify Other Owner:
Status:*
Quantity:
Property Description:
Brand:
Model:
Serial Number:
Color:
Engravings or Unique Markings:
Value:
Is the Property Insured?
Insurance Company Name:
Additional Item Information:
Did you give anyone consent to take or damage the property?*
Additional Involved Property
1. Check here to add additional property (skip if not applicable)
Owner:*
Identify Other Owner:
Status:*
Quantity:
Property Description:
Brand:
Model:
Serial Number:
Color:
Engravings or Unique Markings:
Value:
Is the Property Insured?
Insurance Company Name:
Additional Item Information:
Did you give anyone consent to take or damage the property?*
Additional Property Involved
1. Check here to add additional property (skip if not applicable)
Owner:*
Identify Other Owner:
Status:*
Quantity:
Property Description:
Brand:
Model:
Serial Number:
Color:
Engravings or Unique Markings:
Value:
Is the Property Insured?
Insurance Company Name:
Additional Item Information:
Did you give anyone consent to take or damage the property?*
Additional Property Involved
1. Check here to add additional property (skip if not applicable)
Owner:
Identify Other Owner:
Status:*
Quantity:
Property Description:
Brand:
Model:
Serial Number:
Color:
Engravings or Unique Markings:
Value:
Is the Property Insured?
Insurance Company Name:
Additional Item Information:
Did you give anyone consent to take or damage the property?*
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Incident Description

Enter a detailed description of the incident:*
Good example: I went to Mark's Coffee shop at 1:30 p.m. until 3:00 p.m. My car was in the parking lot unattended during this time. When I returned to my car at 3:00 p.m., the passenger side had a deep scratch from the front passenger door to the back passenger door. Bad example: My car got a deep scratch.
List any additional people and their contact information that have knowledge of this incident:
Please list all known information including name, address, and contact information.
Did you give anyone permission to commit this crime against you?*
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Additional Materials

Please attach any additional materials. This may include photographs, videos, electronic documents, etc...
Describe the materials you attached, if any:
(ex. Picture 1 is the rear, passenger door of my car.)
Do you have additional supporting material?
If YES, the Sun Prairie Police Department may contact you regarding those materials if necessary.
Please describe additional supporting material:
Would you like contact from the Sun Prairie Police Department?*
If YES, this report will be reviewed within 5 business days. You will be contacted by your provided email address or telephone number to be given a case number, associated paperwork, or to obtain further information.
If NO, this report will be reviewed within 5 business days. Please Note: Depending on the severity of the reported incident and / or investigation requirements, contact with you may still be required by the investigating officer.
Acknowledgement:*
1. The information provided in this report is truthful and factual to the best of my knowldege.

Leave This Blank:

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

This field is not part of the form submission.
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Non-Emergency Citizen Self Report

Steps

Step One

Step Two

Add Business

Add Vehicle

Suspect Information

Property (such as damaged, lost, or stolen items):

Incident Description

Additional Materials

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