This form should not be used in emergencies.
This form should be used for incidents that do not require an immediate Garda or Emergency Services response, such as:
  • A danger to life
  • Use, or immediate threat of use, or risk, of violence
  • Serious injury to a person and/or serious damage to property
  • Crime in progress or about to happen
  • An offender still at the scene or has just left the scene
  • Serious public disorder occurring or about to occur
  • A fatal traffic collision or serious injury collision
Always call 999/112 in an emergency.

Important

Video/photographic evidence cannot be uploaded to this page. When asked, you can hand over any video evidence you may have to a member of An Garda Síochána. You will be required to make a statement and may be required to attend Court to give evidence. You will receive an email containing a reference number for your records.

This is not a 24 hour service.

Details of Incident

Mandatory fields marked with *

Location

County

Alleged Crime/Incident

Description of crime / incident

Details of offending vehicle must include. Please provide as much information and detail as possible – limit to 300 characters. *

Personal Details

Name

First Name and Last Name *

Contact Details

Confirmation