Omnigo Software - Online Reporting

Select Report Type for Please select the report type: Original or Supplemental.

Select	Report Type	Definition

Select

Report Type

Definition

	Original	This is the first report you have filed for this incident.
	Supplemental	You are adding information to a previous report which was submitted online. Generate New Image Type the code from the image Original Online Report Number:

Select Incident Type(s)

Select	Incident Type	Definition	Examples

Select

Incident Type

Definition

Examples

	Dating Violence	Violence committed by a person who is or has been in a social relationship of a romantic or intimate nature with the victim. The existence of such a relationship shall be determined based on the reporting party’s statement and with consideration of the length of the relationship, the type of relationship, and the frequency of interaction between the persons involved in the relationship.
	Domestic Violence	Felony or misdemeanor crime of violence committed— • By a current or former spouse or intimate partner of the victim; • By a person with whom the victim shares a child in common; • By a person who is cohabitating with, or has cohabitated with, the victim as a spouse or intimate partner; • By a person similarly situated to a spouse of the victim under the domestic or family violence laws of the jurisdiction in which the crime of violence occurred; • By any other person against an adult or youth victim who is
	Other	Please specify in the "Incident Description:" in section 5.
	Sex Offenses: Fondling	The touching of the private body parts of another person for the purpose of sexual gratification, without the consent of the victim, including instances where the victim is incapable of giving consent because of his/her age or because of his/her temporary or permanent mental incapacity.
	Sex Offenses: Incest	Sexual intercourse between persons who are related to each other within the degrees wherein marriage is prohibited by law.
	Sex Offenses: Rape	The penetration, no matter how slight, of the vagina or anus with any body part or object, or oral penetration by a sex organ of another person, without the consent of the victim.
	Sex Offenses: Statutory Rape	Sexual intercourse with a person who is under the statutory age of consent.
	Sexual Harassment	"Sexual harassment" includes unwelcome sexual advances, requests for sexual favors, sexually motivated physical contact or other verbal or physical conduct or communication of a sexual nature when: 1. submission to that conduct or communication is made a term or condition, either explicitly or implicitly, of obtaining employment, public accommodations or public services, education, or housing; [i.e. Quid Pro Quo] 2. submission to or rejection of that conduct or communication by an individual is used as a fa
	Stalking	Engaging in a course of conduct directed at a specific person that would cause a reasonable person to— • Fear for the person’s safety or the safety of others; or • Suffer substantial emotional distress.

Select Reporting Person Type Please select a proper person type according to the definition below.

Select	Person Type	Definition

Select

Person Type

Definition

	Individual	If you are reporting this for yourself.
	Business	If you are responsible for reporting this for your employer or your own business.

Enter Reporting Person Information Please enter your information as completely as possible. You may be contacted regarding this incident. An email address is required if you would like to be notified when this report is received and approved.

Person Type:
Employee ID:
First Name:
Middle Name:
Last Name:
Home Address:
City /State /Zip Code: /Country	, , ,
Home Phone:
Mobile Phone:
Email Address:	Email report to this address
Confirm Email:
Employer Name:
Work Address:
City / State /Zip Code: /Country	, , ,
Work Phone:
Race:
Sex:
DOB:
Driver License Number:
Licensing State:

Person Type	Name	Home Phone	Mobile Phone	Work Phone

Enter Involved Contact Information Please enter your information as completely as possible. You may be contacted regarding this incident. An email address is required if you would like to be notified when this report is received and approved.

Person Type:
Employee ID:
First Name:
Middle Name:
Last Name:
Home Address:
City /State /Zip Code: /Country	, , ,
Home Phone:
Mobile Phone:
Email Address:	Email report to this address
Confirm Email:
Race:
Sex:
DOB:
Driver License Number:
Licensing State:

Person Type	Name	Home Phone	Mobile Phone	Work Phone

Enter Incident Information Please enter all the information that applies. If you do not know the address of the incident, use the nearest intersection such as Market St./ 10th St. Please ignore previous instructions. LB

Street Address:
City /State /Zip Code: /Country	, , ,
Incident Time (start):
Incident Time (end):
Have Vehicle Info to Enter?:	Yes No
Have Property Info to Enter?:	Yes No
Have Digital Media to Enter?:	Yes No
Origin of Threat:
Incident Description:	(Characters Left)

Enter Vehicle Information Please enter the Vehicle information.

Type:
Make:
Model:
Year (YYYY) :
Color:
License Plate Type:
License Plate Number:	(do not enter spaces)
Licensing State:
VIN:	(do not enter spaces)
Insurance Company Name:
Insurance Policy #:
Insurance Policy Expiration Date:

Enter Property Information Please enter the Property information.

OwnerShip:
Type:
Subtype:
Brand:
Model:
Color:
Serial Number:
How Many:
Approx. Market Value ($):
Property Description:

Select Digital Media Please select any digital media (pictures, documents or any digital data files) up to 4 MB that are relevant to this incident.

File Name	Title	Description

Review Report Please review the report. If all the information is correct, click the Continue button to submit the report. If you need to modify some information, click the desired modify link. This will be your last chance to change information for this report.

General Information:

Incident Type(s):

Reporting Person/Involved Contact Information:

Incident Information:

Incident Location:

Incident Time (start):

Incident Time (end):

Origin of Threat:

Incident Description:

Vehicle Information:
Type:
Make:
Model:
Year (YYYY):
Color:
License Plate Type:
License Plate Number:
Licensing State:
VIN:
Insurance Company Name:
Insurance Policy #:
Insurance Policy Expiration Date:

Property Information:
OwnerShip:
Type:
Subtype:
Brand:
Model:
Color:
Serial Number:
How Many:
Market Value($):
Property Description:

Your report has been submitted.