Report A Drug Dealer


Suspect's Name


Possible Nick names


Suspect's Address City and State


Suspect's Phone Number


Age


Sex
Male    Female

Decision
Caucasian    Afro American    Hispanic    Asian    Unknown

Height


Weight


Automobile Used


License Plate Number


License Plate State


Location of Drug Activity


If "Other" Drug Location, Please Specify


What type of drugs?


Where are the drugs located (Address, etc)?


In what City are the drugs located?


In what County are the drugs located?


Who else lives at the residence?


How do you know this activity is occuring?


Are you willing to speak with an investigator?
Yes    No

If you are willing to speak with us please provide the following information

Name (Optional)


Phone (Optional)


Email (Optional)


If you do not give your Name, Phone, or Email, how may we contact you


Additional Info or Comments