I VOLUNTEER THE FOLLOWING INFORMATION, ON MY OWN FREE WILL, AND FOR WHATEVER PURPOSE IT MAY SERVE.
I understand that by clicking the red button below to submit this form, it will serve as my request and my authorization to pursue charges against an individual(s) that has committed a criminal act(s) against me.
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I certify that all information and facts contained herein, are true and correct, and that, according to RSMo 575.080, if I have knowingly admitted false information or allegations, I will be prosecuted for the filing of a false report.
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By submitting this form, I accept that I may be contacted for further information at the phone number listed above, or visited by a Law Enforcement Agency representative, to complete the filing of charges, and may be required to appear in court.
Thanks for reporting! Your report has been sent to Eminence Police Chief Hogan.