Tips Tips… Instructions for the Form This field is hidden when viewing the formSUBMISSION DATE MM slash DD slash YYYY Enter the Case NumberLOCATED ON THE DOOR HANGER ABOVE THE QR CODEEnter the date of the incident MM slash DD slash YYYY LOCATED ON THE DOOR HANGER ABOVE THE QR CODEEnter the approximate time of the incident : Hours Minutes AM PM AM/PM LOCATED ON THE DOOR HANGER ABOVE THE QR CODEDo you have surveillance cameras that may have recorded the incident or people involved? YES NO Can a Yakima Police Detective contact you? YES NO What is your preferred method of contact? Select All Phone Email In-Person Any information is important. What would you like to share?Please list you name so we can contact you First Last What phone number can you be reached at?What Email address can we reach you at? Enter Email Confirm Email What address can contact you at? Street Address Apartment or Unit Number