Medford Police Department

100 Main Street

Medford, MA 02155

(781) 391-6404

 

HARASSING & ANNOYING TELEPHONE CALL REPORT

 

Report Date: ______________________________   Dept Report#: ______________________________________

 

Victim’s name: _______________________________________________________________________________

 

Victim’s address:  _____________________________________________________________________________

 

Victim’s telephone Number: _____________________________________________________________________

 

Telephone numbers where victim can be reached during daytime: __________________    ___________________

 

Harassing Telephone Number (If known): __________________   _______________________ ________________

 

Type and circumstances of telephone calls:

____________________________________________________________________________________________

 

____________________________________________________________________________________________

 

____________________________________________________________________________________________

 

____________________________________________________________________________________________

 

____________________________________________________________________________________________

 

____________________________________________________________________________________________

 

Suspect (s) if any: ____________________________________      _______________________________________

 

Suspect (DOB/ADDRESS/TEL#):__________________________________________________________________

 

Relationship to victim if known: ___________________________________________________________________

 

Reporting Officer’s Signature ________________________________________      Badge# ___________________

 

 Reviewing Officer’s Signature___________________________________________________________________

General Information:  Making (STAR)*57 work for you – the victim’s part: It’s very easy for the person receiving the threatening/harassing call to use Call Trace. Here are the instructions:

After a threatening/harassing phone call occurs and the call has been terminated (i.e., you and the caller have hanged up) leave the phone on the hook for about 10 seconds to ensure that the call terminates

Pick up the phone and check for a dial tone. If there is no dial tone, hang up, and check again until you get a dial tone.

When a dial tone is heard, dial *57 and listen for a message regarding the trace. The telephone company automated voice will tell you whether the trace was successful or not and give you a telephone number to call.

Report all this information to law enforcement for each call you trace. 

Medford Residents/Business Owners - Please take this form to the police station to file this report