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Your Contact Information
It is very important that you give us a method for contacting you. Please provide an accurate and complete address, phone number, and email (if available).
Incident Information
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Witness Information
Description of Incident
It is very important to provide an accurate, complete, detailed summary.
Pursuant to Criminal Penal Law, Sec. 210.45, it is a crime, punishable as a class A misdemeanor under the laws of the State of New York, for a person, in and by a written instrument, to knowingly make a false statement, or to make a statement which such person does not believe to be true.