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2. Your Email
3. Your Name
5. Your Address
6. Your Phone Number
8. Date and Time of Crime*
   Date and Time of Crime

   Date and Time of Crime
9. Location of Crime*
11. Location of Crime*
13. Name of Persons Inolved*
15. Is this incident related to a school or students?*

    1. Yes
    2. No
17. Details of Crimial or Suspicious Activity*

    Please describe in detail the criminal or suspicious activity you are reporting. What Happened? Please include information such as: what happened, where did it happen, when did it happen, who was involved, and how/why you know this information.

19. Suspect Information
21. Suspect's Name(s)
22. Alias(es) or Nickname(s)
24. Race
    -- Select One --UnknownAsianBlackCaucasianHispanicNatiave American
25. Sex
    -- Select One --UnknownMaleFemale
27. Height
28. Weight
30. Date of Birth
31. Hair Color
33. Hair Style
34. Eye Color
36. Suspect's Address, City, State, Zip, Country
38. Suspect's Cell and / or Home Phone Number
40. Scars, Marks or Tattoos
42. Suspect's Clothing
44. Dogs or Animals
46. Weapons
48. Hangouts
50. Known Associates
52. Gang Affiliation
54. Gang Affiliation
56. Suspect's Employment Information
58. Suspect's Employer's Address, City, State, Zip, Country
60. Where Did You Last See Him/Her?
62. Vehicle Information
64. Make / Model
66. Color
67. Year
69. License Number
70. State
72. Drugs
74. Where Drugs Involved?

    1. Yes
    2. No
75. If You Saw Drugs Being Measured, Were Scales Used and What Type?
77. How were drugs sold? Vehicle/Residence/Other
Leave This Blank:


79. 1. Receive an email copy of this form.
80. Email address

    This field is not part of the form submission.

81. Submit

* indicates a required field