Incident Report

Report an Incident to the
Preserve at Somers HOA
This form is for Preserve at Somers record keeping only. Individual police reports should be filed for each incident with the Somers Town Police Department by calling 232-9622.
Today's Date: 
Your First & Last Name: 
Your Address: 
Your Phone: 
Your Email Address: 
Date & Time of Incident: 
 

Nature of Incident:

Description of Person/Vehicle Involved:

Were the Police Contacted, and if so, the officers name:

Witnesses: