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2. What type activity are you reporting?

   Please be specific - like "possible meth lab" or "meth sales"or "marijuana grow operation."

4. What is the location of this activity?
6. Who is involved in this activity?
8. Person 1
10. Sex
    -- Select One --FemaleMale
11. Race
12. Approximate Age
14. Vehicle 1
16. State
17. License Number
19. Year, Color, Make, Model
21. Vehicle 2
23. State
24. License Number
26. Year, Color, Make, Model
30. The following are additional things we need to know. Please select all that apply:
32. Are there children usually present in this location?

    1. Yes
    2. No
34. Any known guard-type animals present?

    1. Yes
    2. No
36. Have you noticed vehicular or pedestrian traffic to and from this location?

    1. Yes
    2. No
38. Any known surveillance (hidden cameras, etc.)?

    1. Yes
    2. No
40. Any known weapons?

    1. Yes
    2. No
42. Have you observed any other criminal activity at this location?

    1. Yes
    2. No
44. Please tell us why you believe illegal drug activity is on-going. Also, tell us more about any of the topics you checked above:
46. Name
48. Email
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field