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Non-Injury Hit and Run
Report a Hit and Run where there are NO injuries.
Reporting Person Information
Please enter your information.
First Name
(required)
Middle Name
Last Name
(required)
Date of Birth
(required)
Racial/Ethnic Identity
Asian
Black, African, or African American
Hawaiian or Pacific Islander
Hispanic, Latino/a/x, or Caribbean
Middle-Easterner or Arab
Multiracial or Mixed
Native American or Indigenous
White or Caucasian
Another
I decline to answer this question
Gender/Gender Identity
Male
Female
Another Gender Identity
I decline to answer this question
Phone Number
(required)
Email Address
(required)
Confirm Email Address
(required)
Home Address
(required)
Zip Code
(required)
Driver's License Number
Driver's License State
If you are reporting on behalf of someone else, please click Add Additional below and include the victim's information.
+ Add Additional : Reporting Person Information
Vehicle Information
Please provide information related to the vehicle involved in this incident.
Year
(required)
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Make
(required)
ACURA
ADLER
ALFA ROMEO
ASTON-MARTIN
AUDI
AUSTIN-HEALY
AUTOCARRIER
BECKHAM TRAILER INC
BENTLEY
BMC
BMW
BUGATTI
BUICK
CADILLAC
CHEVROLET
CHRYSLER
CLASSIC ROADSTER
DAEWOO
DAIHATSU
DATSUN
DODGE
DUCATI
EAGLE
FERRARI
FIAT
FORD
FREIGHTLINER CORP
GENERIC TRUCK
GEO
GMC
HARLEY DAVIDSON
HOMEMADE MOTORCYCLE
HOMEMADE TRAILER
HONDA
HUMMER
HYUNDAI
INDIAN MOTORCYCLE CO
INFINITI
INTERNATIONAL
ISUZU
JAGUAR
JEEP
KAWASAKI
KENWORTH
KENWORTH NORTHWEST INC
KIA MOTOR CORP
LAND ROVER
LANDCRUISER
LEXUS
LINCOLN
MACK
MAZDA
MERCEDES BENZ
MERCURY
MITSUBISHI
MONGOOSE TRAILER
NASH
NISSAN
OLDSMOBILE
OTHER
OTHER MOTORCYCLE
PEUGEOT
PLYMOUTH
PONTIAC
PORSCHE
ROLLS-ROYCE
SAAB
SATURN
SHELBY AMERICAN
SUBARU
SUZUKI
TESLA
TOYOTA
TRAILER
TRIUMPH
TROY-BUILT
VESPA
VOLKSWAGEN
VOLVO
YAMAHA
YUGO
Model
(required)
Color
(required)
AMETHYST (PURPLE)
BEIGE
BLACK
BLUE
BROWN
BRONZE
CHROME
CAMOUFLAGE
COPPER
CREAM
DARK BLUE
DARK GREEN
GOLD
GREEN
GRAY
LAVENDER-PURPLE
LIGHT BLUE
LIGHT GREEN
MAROON
MULTI COLORED
MAUVE
ORANGE
PURPLE
PINK
RED
SILVER
TAN
TEAL
TAUPE
TURQUOISE
WHITE
YELLOW
License Plate
(required)
License Plate State
(required)
Where was Vehicle Parked
+ Add Additional : Vehicle Information
Incident Location Information
Please provide location information related to the incident.
Incident Location
(required)
Please provide date and time information for which the incident occurred.
Beginning Timeframe
(required)
Ending Timeframe
(required)
Incident Narrative
Describe your incident here, and please be as detailed as possible. Incident narratives should contain all relative information on what happened, where, who was involved and how you became aware of the incident. Single sentence narrative's will be rejected.
Incident Narrative
(required)
Documents, Pictures or Videos
Please provide any Documents, Pictures or Videos to Support your Case
Contact Information
Please provide the best e-mail and phone number to reach you.
E-Mail Address
(required)
Mobile Phone Number
(required)
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No Appointment
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Filing a false police report is a crime (ORS 162.375). Please review your information above.
Submit Report
219 S. Ivy
Medford, OR 97501
Phone: 541-774-2250
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