East Brunswick, NJ

EBPD Incident Report

1. Online Reporting This section is complete This section is incomplete
2. Reporting Person's Information This section is complete This section is incomplete
3. Additional Contacts This section is complete This section is incomplete
4. Property Information This section is complete This section is incomplete
5. Incident Information This section is complete This section is incomplete

The Township of East Brunswick Police Department looks forward to accepting your online report. Not all crimes and incidents can be reported online and this service is not intended to discourage you from requesting a response to your home or business to file a report.
Call the Township of East Brunswick Police Department at 732-390-6900, if the incident you wish to report does not meet the criteria for online reporting, or if you prefer an Officer respond to your home or business within the Township. A report can also be made in person at Police Headquarters located at 1 Civic Center Drive, East Brunswick, NJ 08816.
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First Name*
Middle Name
Last Name*
Home Address*
City*
State*
Zip Code*
Home Phone Number*
Cell Phone Number
Email Address*
Date of Birth*
Date of Birth
Sex*
Race*
SSN
Driver License Number
Licensing State
Business Information
Complete the below fields if you are responsible for reporting this incident for your employer, government agency, or your own business.
Business Name
Business Address
City
State
Zip Code
Main Phone Number
Alternate Phone Number
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Involved Person(s)
Provide contact information for any additional person(s) involved in the incident.
First Name
Middle Name
Last Name
Home Address
City
State
Zip Code
Home Phone Number
Cell Phone Number
Date of Birth
Date of Birth
Sex
Race
First Name
Middle Name
Last Name
Home Address
City
State
Zip Code
Home Phone Number
Cell Phone Number
Date of Birth
Date of Birth
Sex
Race
First Name
Middle Name
Last Name
Home Address
City
State
Zip Code
Home Phone Number
Cell Phone Number
Date of Birth
Date of Birth
Sex
Race
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Stolen Item(s) Information
Complete the below fields for any incident involving a stolen item(s).
Item Type 1
Item Type 1 - Value ($)
Item Type 2
Item Type 2 - Value ($)
Item Type 3
Item Type 3 - Value ($)
Item Type 4
Item Type 4 - Value ($)
Motor Vehicle Information
Complete the below fields for any incident involving a motor vehicle.
Make
Model
Type
VIN
Color
License Plate #
Licensing State
Registered Owner's Name
Registered Owner's Address
City
State
Zip Code
Home Phone Number
Cell Phone Number
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Incident Type*
Report Type*
Previous Incident Report Number
Previous Incident Report Date
Incident Date and Time
If you are unsure of the specific date and/or time of the incident please provide a start and end date and time. Otherwise, only complete the first incident date and time fields.
Incident Date*
Incident Date
Incident Time*
Incident Date
Incident Date
Incident Time
Incident Location
A valid address within the Township of East Brunswick must be entered below. If the incident occurred outside of the Township of East Brunswick, it must be reported to the local law enforcement agency where the incident occurred. Reports may be rejected if an invalid address is provided or the incident occurred in another jurisdiction.
Business Name
Incident Address*
Incident location must be located in East Brunswick, NJ.
City*
State*
Zip Code*
Narrative*
Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) the information you are providing is not urgent or requiring prompt or immediate attention, and you understand that you should call 911 or contact the appropriate authorities by phone if this is time sensitive information, and 2) making a false report to law enforcement or other organizations which deal with emergencies involving danger to life or property is a serious offense and may be punishable by law.
1. I agree.
Electronic Signature*

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