Organized Retail Crime Webform | State of California - Department of Justice

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class="col-md-3"> <h4>Most Popular</h4> <ul class="subList" > <li><a href="/charities">Charities</a></li> <li><a href="https://www.meganslaw.ca.gov" target="_blank">Megan's Law</a></li> <li><a href="/cures">CURES</a></li> <li><a href="/services-info">Service on the Attorney General</a></li> <li><a href="/dmfea">Division of Medi-Cal Fraud & Elder Abuse</a></li> </ul> </div> <div class="col-md-6"> <h4>  <span class="sr-only">Most Popular</span></h4> <ul class="subList"> <li><a href="/register">Permits & Registrations</a></li> <li><a href="/prop65">Prop 65 – Safe Drinking Water</a></li> <li><a href="/missing">Missing Persons</a></li> <li><a href="/privacy/databreach/reporting">Data Security Breach</a></li> <li><a href="/human-trafficking">Human Trafficking</a></li> </ul> </div> </div> </div> </li> </ul> </li> <li class="dropdown"><a href="/appointments">Appointments</a></li> <li class="dropdown"><a href="/contact" class="dropdown-toggle" data-toggle="dropdown">Contact</a> <ul 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0) { var href = jQuery(this).attr('href'); window.location.href = href; return; } jQuery('ul.mainNavbar .dropdown-menu').hide(); jQuery('ul.mainNavbar .dropdown.open').removeClass('open'); drop.show(); jQuery(this).parent().addClass('open'); return false; case 40: // 40 - down arrow key jQuery('ul.mainNavbar .dropdown-menu').hide(); jQuery('ul.mainNavbar .dropdown.open').removeClass('open'); jQuery(this).parent().find('.dropdown-menu').show(); jQuery(this).parent().addClass('open'); break; } }); jQuery('ul.mainNavbar li.dropdown').hover(function() { jQuery(this).find('.dropdown-menu').show(); jQuery(this).addClass('open'); }, function() { jQuery(this).find('.dropdown-menu').hide(); jQuery(this).removeClass('open'); }); </script> </div> </div> </div>   <div class="container-fluid"> <div class="row"> </div> </div> <div class="main-container container"> <div class="row"> <section class="col-sm-9"> <a id="main-content"></a> <h1 class="page-header">Organized Retail Crime Webform</h1> <ol class="breadcrumb"><li><a href="/">Home</a></li> <li><a href="/law" class="active-trail">Law Enforcement</a></li> <li><a href="/bi" class="active-trail">Bureau of Investigation</a></li> <li class="active">Organized Retail Crime Webform</li> </ol> <div class="region region-content"> <div id="block-system-main" class="block block-system"> <div class="content"> <div id="node-551854" class="node node-webform clearfix" about="/bi/retail-crime/report" typeof="sioc:Item foaf:Document"> <span property="dc:title" content="Organized Retail Crime Webform" class="rdf-meta element-hidden"></span><span property="sioc:num_replies" content="0" datatype="xsd:integer" class="rdf-meta element-hidden"></span> <div class="content clearfix"> <form class="webform-client-form webform-client-form-551854" action="/bi/retail-crime/report" method="post" id="webform-client-form-551854" accept-charset="UTF-8"><div><div class="webform-progressbar"> </div> <div class="form-item webform-component webform-component-markup webform-component--introduction form-group form-item form-type-markup form-group"><p><strong>Instructions:</strong> Use the form below to report a crime to the Organized Retail Crime Program. Enter as much information as you can provide.</p> <p><span class="text-danger">*</span> Indicates a Required Field</p> </div><fieldset class="webform-component-fieldset webform-component--true-suspect-information panel panel-default form-wrapper" id="bootstrap-panel"> <legend class="panel-heading"> <span class="panel-title fieldset-legend">Suspect Information</span> </legend> <div class="panel-body" id="bootstrap-panel-body"> <div class="form-item webform-component webform-component-textfield webform-component--true-suspect-information--true-first-name-1 form-group form-item form-item-submitted-true-suspect-information-true-first-name-1 form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-suspect-information-true-first-name-1">Suspect's First Name</label> <input class="form-control form-text" type="text" id="edit-submitted-true-suspect-information-true-first-name-1" name="submitted[true_suspect_information][true_first_name_1]" value="" size="60" maxlength="128" /></div><div class="form-item webform-component webform-component-textfield webform-component--true-suspect-information--true-last-name-1 form-group form-item form-item-submitted-true-suspect-information-true-last-name-1 form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-suspect-information-true-last-name-1">Suspect's Last Name</label> <input class="form-control form-text" type="text" id="edit-submitted-true-suspect-information-true-last-name-1" name="submitted[true_suspect_information][true_last_name_1]" value="" size="60" maxlength="128" /></div><div class="form-item webform-component webform-component-textfield webform-component--true-suspect-information--true-middle-initial-1 form-group form-item form-item-submitted-true-suspect-information-true-middle-initial-1 form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-suspect-information-true-middle-initial-1">Suspect's Middle Initial</label> <input class="form-control form-text" type="text" id="edit-submitted-true-suspect-information-true-middle-initial-1" name="submitted[true_suspect_information][true_middle_initial_1]" value="" size="60" maxlength="128" /></div><div class="form-item webform-component webform-component-textfield webform-component--true-suspect-information--true-address-1 form-group form-item form-item-submitted-true-suspect-information-true-address-1 form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-suspect-information-true-address-1">Address and Apt / Suite</label> <input class="form-control form-text" type="text" id="edit-submitted-true-suspect-information-true-address-1" name="submitted[true_suspect_information][true_address_1]" value="" size="60" maxlength="128" /></div><div class="form-item webform-component webform-component-textfield webform-component--true-suspect-information--true-city-1 form-group form-item form-item-submitted-true-suspect-information-true-city-1 form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-suspect-information-true-city-1">City</label> <input class="form-control form-text" type="text" id="edit-submitted-true-suspect-information-true-city-1" name="submitted[true_suspect_information][true_city_1]" value="" size="60" maxlength="128" /></div><div class="form-item webform-component webform-component-select webform-component--true-suspect-information--true-state-1 form-group form-item form-item-submitted-true-suspect-information-true-state-1 form-type-select form-group"> <label class="control-label" for="edit-submitted-true-suspect-information-true-state-1">State</label> <select class="form-control form-select" id="edit-submitted-true-suspect-information-true-state-1" name="submitted[true_suspect_information][true_state_1]"><option value="" selected="selected">- None -</option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AS">American Samoa</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="GU">Guam</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MH">Marshall Islands</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="MP">Northern Marianas Islands</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PW">Palau</option><option value="PA">Pennsylvania</option><option value="PR">Puerto Rico</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VI">Virgin Islands</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option></select></div><div class="form-item webform-component webform-component-textfield webform-component--true-suspect-information--true-zip-1 form-group form-item form-item-submitted-true-suspect-information-true-zip-1 form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-suspect-information-true-zip-1">Zip</label> <input class="form-control form-text" type="text" id="edit-submitted-true-suspect-information-true-zip-1" name="submitted[true_suspect_information][true_zip_1]" value="" size="60" maxlength="128" /></div><div class="form-item webform-component webform-component-checkboxes webform-component--true-suspect-information--add-another-suspect-1 form-group form-item form-item-submitted-true-suspect-information-add-another-suspect-1 form-type-checkboxes form-group"> <label class="control-label" for="edit-submitted-true-suspect-information-add-another-suspect-1">Add another suspect</label> <div id="edit-submitted-true-suspect-information-add-another-suspect-1" class="form-checkboxes"><div class="form-item form-item-submitted-true-suspect-information-add-another-suspect-1-x form-type-checkbox checkbox"> <label class="control-label" for="edit-submitted-true-suspect-information-add-another-suspect-1-1"><input type="checkbox" id="edit-submitted-true-suspect-information-add-another-suspect-1-1" name="submitted[true_suspect_information][add_another_suspect_1][X]" value="X" class="form-checkbox" />Select if you would like to add another suspect</label> </div></div></div> </div> </fieldset> <fieldset class="webform-component-fieldset webform-component--true-suspect-information-2 panel panel-default form-wrapper" id="bootstrap-panel--2"> <legend class="panel-heading"> <span class="panel-title fieldset-legend">Suspect Information 2</span> </legend> <div class="panel-body" id="bootstrap-panel-2-body"> <div class="form-item webform-component webform-component-textfield webform-component--true-suspect-information-2--true-first-name-2 form-group form-item form-item-submitted-true-suspect-information-2-true-first-name-2 form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-suspect-information-2-true-first-name-2">Suspect's First Name</label> <input class="form-control form-text" type="text" id="edit-submitted-true-suspect-information-2-true-first-name-2" name="submitted[true_suspect_information_2][true_first_name_2]" value="" size="60" maxlength="128" /></div><div class="form-item webform-component webform-component-textfield webform-component--true-suspect-information-2--true-last-name-2 form-group form-item form-item-submitted-true-suspect-information-2-true-last-name-2 form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-suspect-information-2-true-last-name-2">Suspect's Last Name</label> <input class="form-control form-text" type="text" id="edit-submitted-true-suspect-information-2-true-last-name-2" name="submitted[true_suspect_information_2][true_last_name_2]" value="" size="60" maxlength="128" /></div><div class="form-item webform-component webform-component-textfield webform-component--true-suspect-information-2--true-middle-initial-2 form-group form-item form-item-submitted-true-suspect-information-2-true-middle-initial-2 form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-suspect-information-2-true-middle-initial-2">Suspect's Middle Initial</label> <input class="form-control form-text" type="text" id="edit-submitted-true-suspect-information-2-true-middle-initial-2" name="submitted[true_suspect_information_2][true_middle_initial_2]" value="" size="60" maxlength="128" /></div><div class="form-item webform-component webform-component-textfield webform-component--true-suspect-information-2--true-address-2 form-group form-item form-item-submitted-true-suspect-information-2-true-address-2 form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-suspect-information-2-true-address-2">Address and Apt / Suite</label> <input class="form-control form-text" type="text" id="edit-submitted-true-suspect-information-2-true-address-2" name="submitted[true_suspect_information_2][true_address_2]" value="" size="60" maxlength="128" /></div><div class="form-item webform-component webform-component-textfield webform-component--true-suspect-information-2--true-city-2 form-group form-item form-item-submitted-true-suspect-information-2-true-city-2 form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-suspect-information-2-true-city-2">City</label> <input class="form-control form-text" type="text" id="edit-submitted-true-suspect-information-2-true-city-2" name="submitted[true_suspect_information_2][true_city_2]" value="" size="60" maxlength="128" /></div><div class="form-item webform-component webform-component-select webform-component--true-suspect-information-2--true-state-2 form-group form-item form-item-submitted-true-suspect-information-2-true-state-2 form-type-select form-group"> <label class="control-label" for="edit-submitted-true-suspect-information-2-true-state-2">State</label> <select class="form-control form-select" id="edit-submitted-true-suspect-information-2-true-state-2" name="submitted[true_suspect_information_2][true_state_2]"><option value="" selected="selected">- None -</option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AS">American Samoa</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="GU">Guam</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MH">Marshall Islands</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="MP">Northern Marianas Islands</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PW">Palau</option><option value="PA">Pennsylvania</option><option value="PR">Puerto Rico</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VI">Virgin Islands</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option></select></div><div class="form-item webform-component webform-component-textfield webform-component--true-suspect-information-2--true-zip-2 form-group form-item form-item-submitted-true-suspect-information-2-true-zip-2 form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-suspect-information-2-true-zip-2">Zip</label> <input class="form-control form-text" type="text" id="edit-submitted-true-suspect-information-2-true-zip-2" name="submitted[true_suspect_information_2][true_zip_2]" value="" size="60" maxlength="128" /></div> </div> </fieldset> <fieldset class="webform-component-fieldset webform-component--true-witness-information panel panel-default form-wrapper" id="bootstrap-panel--3"> <legend class="panel-heading"> <span class="panel-title fieldset-legend">Witness Information</span> </legend> <div class="panel-body" id="bootstrap-panel-3-body"> <div class="form-item webform-component webform-component-textfield webform-component--true-witness-information--true-witness-first-name form-group form-item form-item-submitted-true-witness-information-true-witness-first-name form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-witness-information-true-witness-first-name">Witness First Name</label> <input class="form-control form-text" type="text" id="edit-submitted-true-witness-information-true-witness-first-name" name="submitted[true_witness_information][true_witness_first_name]" value="" size="60" maxlength="128" /></div><div class="form-item webform-component webform-component-textfield webform-component--true-witness-information--true-witness-last-name form-group form-item form-item-submitted-true-witness-information-true-witness-last-name form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-witness-information-true-witness-last-name">Witness Last Name</label> <input class="form-control form-text" type="text" id="edit-submitted-true-witness-information-true-witness-last-name" name="submitted[true_witness_information][true_witness_last_name]" value="" size="60" maxlength="128" /></div><div class="form-item webform-component webform-component-textfield webform-component--true-witness-information--true-witness-middle-initial form-group form-item form-item-submitted-true-witness-information-true-witness-middle-initial form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-witness-information-true-witness-middle-initial">Witness Middle Initial</label> <input class="form-control form-text" type="text" id="edit-submitted-true-witness-information-true-witness-middle-initial" name="submitted[true_witness_information][true_witness_middle_initial]" value="" size="60" maxlength="128" /></div><div class="form-item webform-component webform-component-textfield webform-component--true-witness-information--true-witness-address form-group form-item form-item-submitted-true-witness-information-true-witness-address form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-witness-information-true-witness-address">Witness Address and Apt / Suite</label> <input class="form-control form-text" type="text" id="edit-submitted-true-witness-information-true-witness-address" name="submitted[true_witness_information][true_witness_address]" value="" size="60" maxlength="128" /></div><div class="form-item webform-component webform-component-textfield webform-component--true-witness-information--true-witness-city form-group form-item form-item-submitted-true-witness-information-true-witness-city form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-witness-information-true-witness-city">Witness City</label> <input class="form-control form-text" type="text" id="edit-submitted-true-witness-information-true-witness-city" name="submitted[true_witness_information][true_witness_city]" value="" size="60" maxlength="128" /></div><div class="form-item webform-component webform-component-select webform-component--true-witness-information--true-witness-state form-group form-item form-item-submitted-true-witness-information-true-witness-state form-type-select form-group"> <label class="control-label" for="edit-submitted-true-witness-information-true-witness-state">Witness State</label> <select class="form-control form-select" id="edit-submitted-true-witness-information-true-witness-state" name="submitted[true_witness_information][true_witness_state]"><option value="" selected="selected">- None -</option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AS">American Samoa</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="GU">Guam</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MH">Marshall Islands</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="MP">Northern Marianas Islands</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PW">Palau</option><option value="PA">Pennsylvania</option><option value="PR">Puerto Rico</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VI">Virgin Islands</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option></select></div><div class="form-item webform-component webform-component-textfield webform-component--true-witness-information--true-witness-zip form-group form-item form-item-submitted-true-witness-information-true-witness-zip form-type-textfield form-group"> <label class="control-label" for="edit-submitted-true-witness-information-true-witness-zip">Witness Zip</label> <input class="form-control form-text" type="text" id="edit-submitted-true-witness-information-true-witness-zip" name="submitted[true_witness_information][true_witness_zip]" value="" size="60" maxlength="128" /></div> </div> </fieldset> <input type="hidden" name="details[sid]" /> <input type="hidden" name="details[page_num]" value="1" /> <input type="hidden" name="details[page_count]" value="3" /> <input type="hidden" name="details[finished]" value="0" /> <input type="hidden" name="form_build_id" value="form-P_yFvw4xA1ifJ0UB0ycZq5QZjMScJNBy2e0tG3Uu9hU" /> <input type="hidden" name="form_id" value="webform_client_form_551854" /> <div class="captcha"><input type="hidden" name="captcha_sid" value="62509389" /> <input type="hidden" name="captcha_token" value="df2c62163d7a4571af14bbf7170d0238" /> <input type="hidden" name="captcha_response" value="Google no captcha" /> <div class="g-recaptcha" data-sitekey="6Lfrk8wSAAAAAKES_8gODs0LOWq-jzEVPIWKl-BX" data-theme="light" data-type="image"></div></div><div class="form-actions"><button class="webform-next button-primary btn btn-default form-submit" type="submit" name="op" value="Next Page >">Next Page ></button> </div></div></form> </div> </div> </div> </div> </div>    </section> <aside class="col-sm-3" role="complementary"> <div class="region region-sidebar-second"> <div id="block-block-468" class="block block-block"> <div class="content"> <div class="CS"> <h3>Organized Retail Crime</h3> <ul class="CSList"> <li><a href="/bi/retail-crime">Organized Retail Crime Home</a></li> <li><a href="/bi/retail-crime#press">Press Releases</a></li> <li><a href="/bi/retail-crime#media">Media</a></li> <li><a class="btn btn-danger" href="/bi/retail-crime/report" style="margin-top: 0px;">Report a Crime</a></li> </ul> </div> </div> </div><div id="block-block-191" class="block block-block"> <div class="content"> <div class="CS"> <h3>Bureau of Investigation</h3> <ul class="CSList"> <li><a href="/bi">Bureau of Investigation 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