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Hazlet Township Police Department

Supplement Report

Use this form for adding additional information to a report that was previously filed.

Phone Number

Date Report was filed

Receipt Number if Known

Additional Information for report

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I certify this report to be truthful with all accurate information to the best of my knowledge.

First Name

Last Name

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By checking this box, I understand filing a false police report is a crime. Any person who gives or causes to be given false information to any law enforcement officer, with respect to the commission of any crime or incident, is guilty of a fourth degree crime under the New Jersey Code of Criminal Justice (2C:28-4). Fourth degree crimes are punishable by a fine of not more than $ 1,000.00, or by imprisonment for not more than 18 months, or both.

Receipt

You will be provided with a Receipt upon submission.