Retail Contact Form

This form is ONLY to be used by retail shops and stores for the reporting of theft.

You MUST NOT report any other crimes using this form.

To report any other crime, please call 101 or if it is an emergency, call 999.

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Your Details

First name

Last name

Date of birth

Address Line 1

Address Line 2

Address Line 3

Town/City

Postcode

Contact Number

Enter Your Personal/Company email address

Store Name

Occupation

How long have you worked there for?

Reference Number

Date of Offence

Duration of Footage

At what times do key events occur?

Is the offender known to me(Required)

Yes

What is the suspects name?

How do you know the suspect?

What Was Stolen

Provide details on each item stolen. Press the plus button to add more items.
Item	Quantity	Value	Recovered	Action

indicates required field

Total value of the goods taken:

Upload CCTV Footage

Please upload CCTV footage and copy of till receipt.

All footage submitted must be in MP4 format.

Do not delete your footage after sending through. Ensure that the original CCTV footage is preserved for a minimum of 6 months.

Drop files here
or

Disclaimer

Any information provided by you will be treated in strict confidence. The information you provide will be placed on Police Systems and protected by the provisions of the Data Protection Act 1998. For further information about how we use personal data, please see Privacy Policy

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Your Details

What Was Stolen

Upload CCTV Footage

Disclaimer

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