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Supplementary (Additional Information) Form

If the incident is happening now please contact Triple Zero, 000.

Only use this on-line service if:

  • you have previously reported the matter to Police
  • you have a current and valid email address
  • you want to add additional information, suspects, photographs, or property to your report

You can also add property, withdraw an existing report or request an update on your existing report.

Otherwise please contact Policelink on 131 444.

Privacy

The Queensland Police Service collects information to assist in performing its statutory functions and responsibilities. Information provided will be used to process your application, create a Police Report, and/or resolve your complaint, compliment or query. You may be required to provide a personal identification number such as drivers licence or passport number to assist in verifying your identity. Your personal information will be managed in compliance with the Information Privacy Act 2009.

There is the provision on some Online Forms to opt-out of providing any personal information. In these instances, the QPS will not collect, store, or use any personal information, and the above stipulations do therefore not apply.

View full Privacy Statement.

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As you have not agreed to the Privacy Statement, you cannot continue. As an alternative, please telephone Policelink on 131 444 or visit your local Police Station.

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Supplementary (Additional Information) Form Queensland Police Logo
  1. Yes   No
  2. Call us now on 131 444 – let's try and get it back!
  3. Report Details
    1. * Yes   No
    1. * Please enter a valid 10 digit report number. QP
      • *Date and time of the offence
        (This is the estimated timeframe of when the offence has occurred that you nominated in your initial report)
      • * Day/Month/Year (example: 22/04/2011)
      • *
      • Day/Month/Year (example: 22/04/2011)
      • * i.e. Great Western Shopping Centre, 131 Settlement Road
        i.e. Bus stop outside McDonalds Elizabeth Street
      • *
      • *
    2. *
    3. * Yes   No
    4. * Yes   No
    5. * Yes   No
    6. * Yes   No
    7. * Yes   No
  4. Your Details
    1. *
    2. *
    3. * Please use the following date format (DD/MM/YYYY).
    4. * Male   Female
  5. Your Address Details
    1. * e.g. 18 or 4/5 Smith Street
    2. *
    3. *
    4. *
    5. *
    6. *
  6. Business Details
    1. * This information is found on the Business Certificate which is normally framed and displayed in the office or main shop area, e.g. ABC Pty Ltd trading as ABC Rental Hire Birsbane City.
    2. * e.g. 4 or Shop 3/5 Smith Street
    3. *
    4. *
    5. *
    6. *
  7. Supplementary Details
    1. * Please be as specific as possible and include dates, times, names and detailed descriptions of events and additional information.
  8. Suspect Details
    1. Note: Maximum of 5 people can be added.
      1. e.g. John Doe also known as 'Tiny'
      2. Please use the following date format (DD/MM/YYYY).
      3. e.g. 21 or 30-35, June 1980-1982
      4. e.g. 4 or 8/5 Smith Street
      5. * Male
        Female
        Unknown
      6. e.g. 175cm, 5'8, tall, short
      7. e.g. Short black spikey hair, Shoulder length rainbow hair
      8. e.g. Blue singlet, red flannie, hot pink shorts, black rubber thongs
      9. e.g. Scar on left cheek, tattoo of eagle on back, walks with a limp
      10. *
      1. e.g. John Doe also known as 'Tiny'
      2. Please use the following date format (DD/MM/YYYY).
      3. e.g. 21 or 30-35, June 1980-1982
      4. e.g. 4 or 8/5 Smith Street
      5. * Male
        Female
        Unknown
      6. e.g. 175cm, 5'8, tall, short
      7. e.g. Short black spikey hair, Shoulder length rainbow hair
      8. e.g. Blue singlet, red flannie, hot pink shorts, black rubber thongs
      9. e.g. Scar on left cheek, tattoo of eagle on back, walks with a limp
      10. *
      1. e.g. John Doe also known as 'Tiny'
      2. Please use the following date format (DD/MM/YYYY).
      3. e.g. 21 or 30-35, June 1980-1982
      4. e.g. 4 or 8/5 Smith Street
      5. * Male
        Female
        Unknown
      6. e.g. 175cm, 5'8, tall, short
      7. e.g. Short black spikey hair, Shoulder length rainbow hair
      8. e.g. Blue singlet, red flannie, hot pink shorts, black rubber thongs
      9. e.g. Scar on left cheek, tattoo of eagle on back, walks with a limp
      10. *
      1. e.g. John Doe also known as 'Tiny'
      2. Please use the following date format (DD/MM/YYYY).
      3. e.g. 21 or 30-35, June 1980-1982
      4. e.g. 4 or 8/5 Smith Street
      5. * Male
        Female
        Unknown
      6. e.g. 175cm, 5'8, tall, short
      7. e.g. Short black spikey hair, Shoulder length rainbow hair
      8. e.g. Blue singlet, red flannie, hot pink shorts, black rubber thongs
      9. e.g. Scar on left cheek, tattoo of eagle on back, walks with a limp
      10. *
      1. e.g. John Doe also known as 'Tiny'
      2. Please use the following date format (DD/MM/YYYY).
      3. e.g. 21 or 30-35, June 1980-1982
      4. e.g. 4 or 8/5 Smith Street
      5. * Male
        Female
        Unknown
      6. e.g. 175cm, 5'8, tall, short
      7. e.g. Short black spikey hair, Shoulder length rainbow hair
      8. e.g. Blue singlet, red flannie, hot pink shorts, black rubber thongs
      9. e.g. Scar on left cheek, tattoo of eagle on back, walks with a limp
      10. *
  9. Vehicle Details
    1. Note: Maximum of 5 vehicles can be added.
      1. e.g. Toyota, Ford, Holden, Suzuki
      2. e.g. Corolla, Falcon, Commodore
      3. e.g. sedan, coupe, station wagon, motorcycle
      4. e.g. 123ABC or 1?3AB? for a partial plate
      5. e.g. damage, stripes, mags, spoilers, stickers etc.
      6. *
      1. e.g. Toyota, Ford, Holden, Suzuki
      2. e.g. Corolla, Falcon, Commodore
      3. e.g. sedan, coupe, station wagon, motorcycle
      4. e.g. 123ABC or 1?3AB? for a partial plate
      5. e.g. damage, stripes, mags, spoilers, stickers etc.
      6. *
      1. e.g. Toyota, Ford, Holden, Suzuki
      2. e.g. Corolla, Falcon, Commodore
      3. e.g. sedan, coupe, station wagon, motorcycle
      4. e.g. 123ABC or 1?3AB? for a partial plate
      5. e.g. damage, stripes, mags, spoilers, stickers etc.
      6. *
      1. e.g. Toyota, Ford, Holden, Suzuki
      2. e.g. Corolla, Falcon, Commodore
      3. e.g. sedan, coupe, station wagon, motorcycle
      4. e.g. 123ABC or 1?3AB? for a partial plate
      5. e.g. damage, stripes, mags, spoilers, stickers etc.
      6. *
      1. e.g. Toyota, Ford, Holden, Suzuki
      2. e.g. Corolla, Falcon, Commodore
      3. e.g. sedan, coupe, station wagon, motorcycle
      4. e.g. 123ABC or 1?3AB? for a partial plate
      5. e.g. damage, stripes, mags, spoilers, stickers etc.
      6. *
  10. Property Details
    1. Note: Maximum of 30 items only. If more than 30 items need to be reported, please submit them on an additional form using the same Occurrence Number.
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
      1. *
      2. * e.g. ANZ MasterCard, Apple Iphone, 18 ct Diamond ring
      3. *
      4. An IMEI number is a 15 digit long number that is unique to your mobile phone and some tablets – if you do not have this, your service provider should be able to provide this, or it may be on the original packaging
      5. e.g. Engraved with 'I Love Lucy', microdots, UV marked etc.
      6. *
      7. *
  11. Attachments
    (Photographs, Videos and Documents)
    1. * Yes   No
      • Please note: It is important to capture the name of the person who took the photograph(s)/video(s) of the Property/Damage as Police may request a signed statement from that person stating they took the photograph(s)/video(s).
      • * Video   Photos, pictures or other documentation
      • Please note: A file size limit of 5MB applies and the video needs to be in a m4v, m4a, mp3, mp4 or avi format. If the video footage is larger than 5MB please copy to a storage medium such as a CD, DVD, USB etc. and store in a safe place for collection by police, if required.


      • Please note: There is a limit of 5 attachments with the size of each file limited to 1MB. If you attempt to upload an attachment greater than 1MB or an incorrect file type, an error message will appear and the photograph(s)/document(s) will need to be re-attached. The photographs/pictures need to be in a jpg, jpeg, or png format and other documentation is to be in either PDF, Microsoft Word or Excel.






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