Submit Online Report

IS THIS AN EMERGENCY? IF YES, DIAL 911, DO NOT USE THIS FORM

This form is for NON-EMERGENCY / NOT IN PROGRESS incident reports. An officer will not see your report in real-time or respond to your location. You may receive a telephone call from a department representative at a later date (if necessary to complete the report).

THIS ONLINE REPORTING SYSTEM IS ONLY FOR REPORTS FOR THE FOLLOWING TYPES OF INCIDENTS:

Abandoned Autos
Parking Complaints
Animal Complaints(Barking Dogs, Lost Pets, etc.)
Child Custody Reports

All other reports should be made to an officer in person at your home, business, or the Bensalem Township Police Department.

If you submit a report type not listed above, the Bensalem Township Police Department will not document it.

Report Type *

Individual (as a person)

Business (for a company)

Select "individual" if you are reporting as a person, or select "business" if you are reporting for a company.

Contact Info

First Name *

Last Name *

E-mail Address *

Phone Number *

Address

Street Address *

Apartment / Suite Number

City *

State *

Zip Code *

Incident Location

Copy Address from Above Get Address from Map Marker

Company

Street Address *

Apartment / Suite Number

City *

State *

Zip Code *

Map Marker

Use Incident Location Address Use My Current Location

Hint, click the map to add or drag a GPS Marker. Zoom in for a better view.

Incident Details

Date of Occurrence *

Month

Day

Year

Time of Occurrence *

Hour

Minute

Type of Incident *

Summary of Incident *

Enter additional information that may assist with the investigation of the report.

Attachments

Attach any files (jpg, jpeg, png, txt, pdf, avi, mov, mp4, mp3, wav) that may assist with the investigation of the report.

Internal ID

An internal ID, for agency use only.

Agree *

I understand that submitting a false report is punishable by law, and agree the incident I am reporting is not currently in progress.

Leave this field blank