Division Forms

Bicycle Registration Form

The Urbana Police Division recovers numerous bicyles throughout the year that are never able to be returned to their rightful owners.

The Urbana Police Division provides a service to its citizens to help return these bikes to their owners.  Registering your bicycle takes only a few minutes.

If you wish to register your bicycle with the Urbana Police Division, just download the bike registration found below.  Fill the form out and return it to us.

You can return the form by:

1. Returning it to the Urbana Police Division, 205 South Main Street.
2. Fax it to us at 937-652-5146.
3. Or you can also deliver this registration form to any Urbana Police Officer that you see on patrol.

If you have any questions, please contact the Urbana Police Division at 937-652-4350.

Bicycle Registration Form

Citizen Commendation

The Urbana Police Division welcomes citizens' recognition of police employees performing in a quality manner.

Citizen commendations will be forwarded to both the commended employee and to his or her personnel file.

Citizen Commendation Form

Citizen Complaint Form

The Division and it's employees, are committed to maintaining integrity, discipline, and a relationship with the community of public trust and confidence.

The Division has a "Professional Responsibility" process to accept and investigate allegations of employee misconduct.

The Professional Responsibility process requires that all complaints be accepted, investigated, and then finished with a "conclusion of fact."

If appropriate, employees will be disciplined for misconduct according to the Division's disciplinary procedures.

Pat R. Wagner, Chief of Police

Citizen Complaint Form

Statement Form

One day, you may become involved in an incident within the City of Urbana and the police division will request you to fill out a statement form.

A written statement is important as it forms part of the evidence the police are collecting.

The statement may be used to help decide whether a crime has been committed.  Does the statement a witness provides give enough detail to warrant a criminal complaint?

A written statement protects everyone that is involved.  It is your statement!  It cannot be changed.  When a statement is given orally, thnigs can be added or ommitted.  In a written statement, nothing can be changed unless the person giving the statement is aware of it and agrees with those changes.

If you have been requested to fill out a statement or have information in an investigation, you can print out the Urbana Police Division statement form below.

Remember!!  a statement form is a legal document!  You can be prosecuted for knowingly making a false statement.

When filling out the statement form, try to use plain english.  Be very detailed by using dates and times, person's names, etc.  Follow the instructions on the form.

After completing the form, please foward the statement to the invesitgating officer (if known).  There is a place provided on the bottom of the statement (Please return this statement to:)

Statement Form