ACT Policing
Petrol drive-off - report to ACT Policing
Required fields are marked with an asterisk (
*
).
Acknowledgement of complainant's responsibility
I understand that if ACT Policing is requested to investigate this offence, the console operator MUST be prepared to attend Court and give evidence.
I understand that in order for the offence to be investigated, the console operator must attend the Police Station nearest to where the offence occurred within seven days, and provide all CCTV footage of the incident and complete a witness statement.
I understand that failing to provide this information outlined above within the seven days, will result in no further action, or investigation.
Full name of person completing form
*
Do you acknowledge points A, B and C
*
-- Please Select --
Yes
No
What Police action are you requesting?
*
-- Please Select --
I am reporting for information only
I am reporting for insurance purposes only (no investigation required)
I would like this offence investigated by Police
ACT Policing
ACT Policing