Submit a New Hampshire Hiking Trailhead Parking Lot Break-In Within past 5 years please
Name (will not be published on site)
E-Mail
Trailhead Parking Lot Location
Date Parked (first day if multiple)
Hour Parked (roughly when you parked your vehicle)?	12 Midnight-1:59 AM 2-3:59 AM 4:00-5:59 AM 6:00-7:59 AM 8:00-9:59 AM 10:00-11:59 AM 12:00-1:59 PM 2:00-3:59 PM 4:00-5:59 PM 6:00-7:59 PM 8:00-9:59 PM 10:00-11:59 PM
Hour Returned (roughly when you returned to find your vehicle broken into)?	12 Midnight-1:59 AM 2-3:59 AM 4:00-5:59 AM 6:00-7:59 AM 8:00-9:59 AM 10:00-11:59 AM 12:00-1:59 PM 2:00-3:59 PM 4:00-5:59 PM 6:00-7:59 PM 8:00-9:59 PM 10:00-11:59 PM
How Many Days Were You Parked	Less than 24 Hours 24 Hours to 2 Days 3 to 5 Days More Than 5 Days
Make and Model of Vehicle
How Old Was Your Vehicle	1 Year or Newer 1 to 3 Years 4 to 8 Years More than 8 Years because I have no payments More than 8 Years - classic/collector's car
Anti-Theft System Enabled While Parked?	Yes No
Type of Break In?	Window smashed Door crowbarred Soft top cut Vehicle was unlocked Other
Cash/Credit Cards Taken?	Cash Credit Card Cash & Credit Card No
Unattached Items Taken (in but not part of your vehicle)?	Yes No
Interior Parts of Car Taken (stereo, etc.)?	Yes No
Exterior Parts of Car Taken (tires, etc.)?	Yes No
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