Elkhart County Government

forms@elkhartcounty.com

117 N. 2nd Street, Goshen, IN, 46526, US

574-535-6631

Print Document

When you click Print below we will prepare a printable document for you. It will automatically download when it's ready.

Did you know?
You can fill in the document online and then click the print icon and all of your information will be populated in the printable document, saving you time later.

SeamlessDocs

Please fill out all applicable fields. Any field that has a Red asterisk in it is a required field.

If you are a business reporting an incident please enter your Company name (Business name), address, phone number in the Victim #1. Then in the Victim #2 box please enter the person reporting the incident name, address, phone number, email address, and the other information is helpful too.

Please check that you agree before continuing.

By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.

Additional Signatures Required

Upload Attachment(s)

Please upload any supporting attachments:

There is a 250MB limit on each attachment.

Crime Report Attachment (1) Click Here to Upload

Crime Report Attachment (2) Click Here to Upload

Crime Report Attachment (3) Click Here to Upload

Skip

Elkhart County Government

Print Document

Create Your Signature

Upload Attachment(s)

Sign Now!

Please provide accurate information below to ensure the delivery of the signed copies of the document.