MIHeat.org website Thank you for your efforts to Help Eliminate Auto Thefts!

If you have any questions, please call 1-800-242-HEAT (4328).

 
  NATURE OF ACTIVITY    
Today's Date:  
  I am reporting...
    
If Insurance Fraud, please be sure to complete the  INSURANCE FRAUD SECTION  below. 
  POLICE CONTACT    
  Have you contacted the police?   If yes, which Police Department?
   
 
     If other, please complete,   
    
   Date:    
  Did you work with a specific officer?    If yes, what was the name of the Officer?  
 
  What is the Officer's phone number?   
 
  Has anyone been arrested?   
  Complaint number, if known:  
  WHERE/WHEN CRIME OCCURRED    
  When did you observe the activity/crime? Date:    and  
     Approximate Time:  
  What city did the crime occur?  
  What is the address or cross streets where the crime occurred?  
  Is the location a  
  SUSPECTS    
  Name(s) of the person(s) involved:   
Suspect #1                               Suspect #2 
  Last Name:  
  First Name:  
  Middle Name/Initial:  
  Alias/Street Name:  
  Address:  
  City:  
  Zip:  
  DOB/Age:  
  Sex:  
  Height:  
  Weight:  
  Eyes:  
  Hair:  
  Race:  
  Other Features:   Check all that applies.   
  What is the relationship with Suspect #1?  
  DESCRIPTION OF THE VEHICLE(S)    
  Description of the vehicle(s):   
Vehicle 1                               Vehicle 2 
  Year:  
  Make:  
  Model:  
  Color:  
  Body Style:  
  Where is the vehicle located?     
    
  H.E.A.T. PROGRAM    
  Have you previously reported a tip through HEAT?   
  How did you hear about the HEAT Program?
        
 If other, please specify:  
 
  Is there any other information you'd like to give?
      
 
  INSURANCE FRAUD SECTION    
  Is the suspect:   BACK  


  
  Has the owner reported the vehicle stolen to his/her insurance company?
  Name of the insurance company, if known:
  Name of the contact person at that company?
  Contact person phone number?  
  Policy number, if known:  
  Please provide the circumstances of the fraud:
      
  OTHER INFORMATION (NOT REQUIRED BUT HELPFUL!)    
  If the investigating agency determines that your tip was helpful in the arrest and recovery,
you may be eligible to receive a reward and the police agency will need a way to contact you.

  Would you like to leave your name, or do you wish to remain anonymous?
      
  
  

  
Name:   
  Would you like to leave your phone number?
    If yes, please begin with the area code.  
Home Phone:   
  Work Phone:   
  Cell Phone:   
  Pager:   
  Other:   
  If other, please specify (parent's home, friend, etc.) 
 
  Is it okay if a police officer contacts you if they need more information?   
If okay, which phone number?   
Who should they ask for?   
  Is it OK to leave a message if you're not there when they call?   
If yes, which number?   
  Would you like to leave your address?  Street Address:   
   Apt:   
   City:   
   Zip:   
   County:   
  E-Mail Address:   (Not Required) 
 
 
  HEAT (Rev.2011)