Was the incident reported to the Middlesex District Attorney's Office? * |
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Was the incident reported to the police? * |
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Were charges filed? * |
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Is there a suspect? * |
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Name of the organization * |
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Organization's Contact * |
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Police Department/Agency * |
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Police Department/Agency Contact Person * |
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Police Department/Agency Address * |
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Police Department/Agency Phone Number * |
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Reporting Party's Name * |
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Reporting Party's Address |
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Reporting Party's City |
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Reporting Party's State |
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Reporting Party's ZIP Code |
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Reporting Party's Phone Number * |
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Charges * |
Describe the charges
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Suspect's name * |
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Suspect's Date of Birth |
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Suspect's Address |
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Suspect's City |
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Suspect's State |
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Suspect's ZIP Code |
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