Kauai Police Department

kpdonline@kauai.gov

3990 Kaana Street, Suite 200 Lihue, HI 96766

Non Emergency Line: (808) 241-1711 Emergency Line: 911

Section 1 of 21 in this document

Theft / Shoplifting

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Are there any suspects, witnesses, or evidence (such as video)?

Yes

Important Notice:

If there are suspects, witnesses, or evidence (such as video) this incident may not be filed online.

Please call our non-emergency line at (808) 241-1711 to file a report in person with an officer

Section 2 of 21 in this document

Did the suspect break into your home or vehicle to steal your property?

Yes

Important Notice:

This incident may not be filed online.

Please contact our non-emergency line at (808) 241-1711 to file the report in person with an officer.

Section 3 of 21 in this document

Was the property that was stolen a firearm (e.g., rifle, shotgun, pistol)?

Yes

Important Notice:

A theft of a firearm cannot be reported online.

Please call our non-emergency line at (808) 241-1711 to file a report in person with an officer.

Section 4 of 21 in this document

Is the total value of the stolen property more than $750.00?

Yes

Important Notice:

Due to the total value of the stolen property, this incident cannot be reported online.

Please call our non-emergency line at (808) 241-1711 to file a report in person with an officer.

Section 5 of 21 in this document

Is the victim a business?

Yes

Name of Business

Section 6 of 21 in this document

Driver's License Information

Driver's License Number *

Issuing State / Country *

Expiration Date *

Phone Number

Do you have a US address?

Yes

No, I have an International address

Section 7 of 21 in this document

Section 8 of 21 in this document

International Address (if living outside of the US)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code / Zip

Country

Section 9 of 21 in this document

Type of Theft

Approximate Date and Time of incident

Circumstances of the incident

Describe Property

Additional Description

Make / Brand

Model / Type

Color

Additional Description

Model No.

Serial No.

Other

Value of Property

Add additional property

Yes

Section 10 of 21 in this document

Describe Property

Additional Description

Make / Brand

Model / Type

Color

Additional Description

Model No.

Serial No.

Other

Value of Property

Add additional property

Yes

Section 11 of 21 in this document

Describe Property

Additional Description

Make / Brand

Model / Type

Color

Additional Description

Model No.

Serial No.

Other

Value of Property

Add additional property

Yes

Section 12 of 21 in this document

Describe Property

Additional Description

Make / Brand

Model / Type

Color

Additional Description

Model No.

Serial No.

Other

Value of Property

Add additional property

Yes

Section 13 of 21 in this document

Describe Property

Additional Description

Make / Brand

Model / Type

Color

Additional Description

Model No.

Serial No.

Other

Value of Property

Add additional property

Yes

Section 14 of 21 in this document

Describe Property

Additional Description

Make / Brand *

Model / Type *

Color *

Additional Description

Model No.

Serial No.

Other

Value of Property

Add additional property

Yes

Section 15 of 21 in this document

Describe Property

Additional Description

Make / Brand

Model / Type

Color

Additional Description

Model No.

Serial No.

Other

Value of Property

Add additional property

Yes

Section 16 of 21 in this document

Describe Property

Additional Description

Make / Brand

Model / Type

Color

Additional Description

Model No.

Serial No.

Other

Value of Property

Add additional property

Yes

Section 17 of 21 in this document

Describe Property

Additional Description

Make / Brand

Model / Type

Color

Additional Description

Model No.

Serial No.

Other

Value of Property

Section 18 of 21 in this document

Describe Property

Additional Description

Make / Brand

Model / Type

Color

Additional Description

Model No.

Serial No.

Other

Value of Property

Section 19 of 21 in this document

Upload file(s): photographs of receipts (if available), photos of the stolen property (if available)

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Section 20 of 21 in this document

KPD online report number

Declaration

By submitting this report, I affirm that the information provided is true and accurate to the best of my knowledge. I understand that knowingly filing a false police report is a criminal offense.

Pursuant to Hawai‘i Revised Statutes §710-1015, filing a false report with law enforcement is a misdemeanor crime.

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Theft / Shoplifting

Are there any suspects, witnesses, or evidence (such as video)?

Did the suspect break into your home or vehicle to steal your property?

Was the property that was stolen a firearm (e.g., rifle, shotgun, pistol)?

Is the total value of the stolen property more than $750.00?

Is the victim a business?

Business Address

Reporting Party Information

Date of Birth

Driver's License Information

Do you have a US address?

US Address

International Address (if living outside of the US)

Approximate Date and Time of incident

Incident Address

Additional Description

Additional Description

Add additional property

Additional Description

Additional Description

Add additional property

Additional Description

Additional Description

Add additional property

Additional Description

Additional Description

Add additional property

Additional Description

Additional Description

Add additional property

Additional Description

Additional Description

Add additional property

Additional Description

Additional Description

Add additional property

Additional Description

Additional Description

Add additional property

Additional Description

Additional Description

Additional Description

Additional Description

Upload file(s): photographs of receipts (if available), photos of the stolen property (if available)

Sign Here