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Patch Request

Patches are available for purchase via check or money order.
Contact Information
Please provide the best e-mail and phone number to reach you.
E-Mail Address (required)
Mobile Phone Number (required)
We are currently not yet accepting appointments, please select No Appointment (required)
Reporting Person Information
Please enter your information.
First Name (required)
Middle Name
Last Name (required)
Date of Birth (required)
Racial/Ethnic Identity
Gender/Gender Identity
Phone Number (required)
Email Address (required)
Confirm Email Address (required)
Home Address (required)
Zip Code (required)
Driver's License Number/ID Card
Driver's License/ID Card State
If you are reporting on behalf of someone else, please click Add Additional below and include the victim's information.
Incident Narrative
Describe your incident here, and please be as detailed as possible.
Incident Narrative (required)
Schedule Contact Appointment
Please pick an available date and time for an officer to contact you via Phone or Zoom.


Filing a false police report is a crime (ORS 162.375). Please review your information above.



2600 SW Pacific Boulevard
Albany, OR 97321
Phone: 541-917-7680

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