Civilian Incident Report Form

Please use this form to report one (1) incident per report to the Teaneck Police Department.

DO NOT use this form to report an EMERGENCY.
If you are having an EMERGENCY please dial 9-1-1.

Once submitted, your request will be routed to the appropriate department.

Follow-up investigations will be on a case-by-case basis

****** Using a fake email address will void this submission********

DO NOT USE THIS FORM TO SUBMIT MOTOR VEHICLE CRASHES
Call the local police department where the crash occurred. 


TEANECK POLICE CIVILIAN INCIDENT REPORT FORM

Must use format MM/DD/YYYY
12:30 pm or 1:00 am - 4:00 am
Example: 900 Teaneck Road, Teaneck, NJ 07666 or "Teaneck Police Department"
Person submitting report
(123) 456-7890
MM/DD/YYYY
Must use a valid email address. You will receive an email copy of this submission
(123) 456-7890
MM/DD/YYYY
(License Plate Number)
Issuing state
YYYY
Must be 17 characters
YYYY
Must be 17 characters
Please include as much detail of this incident as possible (ONLY ONE INCIDENT PER REPORT)