Get Police Referral

This guide provides clear instructions on how to accurately complete the Police Referral form online. Following these steps will help ensure you provide all necessary information for a thorough referral.

Follow the steps to effectively complete the Police Referral form.

1. Press the ‘Get Form’ button to access the Police Referral form and open it in your document editor.
2. Fill in the 'Agency' field with the name of your department or organization responsible for the referral.
3. Next, provide a contact 'Telephone' number for the agency, ensuring it is accurate for follow-up communications.
4. Enter the 'Person Submitting Report' who is filling out the form, including their full name.
5. In the 'Title' section, specify the position of the person submitting the report within the agency.
6. Complete the 'Address' section by providing the physical address of the agency.
7. Include a contact 'Telephone Number' for the person submitting the report.
8. If the victim agency is different from the submitting agency, enter that agency's name in the provided field.
9. Select the most appropriate violation(s) from the list. You may choose multiple options if applicable, including options such as 'Check Fraud' or 'Bribery/Gratuity'.
10. In the 'Brief Explanation' field, provide a concise but clear description of the incident.
11. State the 'Estimated loss to the Commonwealth' by entering the estimated monetary amount in the designated field.
12. Identify the 'Person suspected of violation' by entering their name and address.
13. Specify the 'Relationship to the agency' for the suspected individual by selecting one of the available options, such as 'Employee' or 'Agent'.
14. Indicate whether the suspected individual has made any admissions and if so, to whom.
15. Document who discovered the violation and the date it was found.
16. Enter the name of the person who discovered the violation in the appropriate section.
17. Indicate whether the violation has been reported to another law enforcement agency, and if it has, specify that agency.
18. Lastly, indicate whether any administrative action has been taken in relation to the violation.
19. Once you have completed the form, review all entries for accuracy. You can then save changes, download, print, or share the form as needed.

Complete your Police Referral form online today for a timely processing of your submission.