Suspect's Name:
Possible Nicknames:
Suspect's Address:
Suspect's Phone Number:
Age:
Race:
Please Choose One
Caucasian
Afro American
Hispanic
Asian
Unkown
Height:
Weight:
Automobile Used:
License Plate Number:
License Plate State:
Please Choose One
Alabama
Alaska
Arizona
Arkansas
California
Caribbean
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
UNKNOWN
If "Other" Drug Location, Please Specify:
What type of drugs?
Please Choose One
Amphetamines
Crack
Heroin
LSD
Marijuana
Hashish
Methamphetamines
Mushrooms
PCP
Prescription
Unknown
Where are the drugs located (Address, etc)?
Who else lives at the residence?
Time of drug activity?
Time...
12 AM
1 AM
2 AM
3 AM
4 AM
5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
11 PM
All Hours
UNKNOWN
To
Time...
12 AM
1 AM
2 AM
3 AM
4 AM
5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
11 PM
All Hours
UNKNOWN
Day of drug activity?
Day...
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Everyday
Unknown
To
Day...
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Everyday
Unknown
How do you know this activity is occuring?
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 :