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2. Use this form to notify us about any suspicious or criminal drug activity. You don't have to provide your name or phone number but please include that information if you would like to be contacted or have information you would like to discuss with us personally.
4. Complainant's Name
6. First Name
7. Last Name
9. Complainant's Phone
10. Complainant's Email
12. Do you want to be contacted?*
    -- Select One --NoYes
13. Source of Information*
    -- Select One --Personal BeliefPersonal KnowledgePersonal ObservationSuspicion
15. Do you know the suspect personally?
    -- Select One --NoYes
17. Suspect Information
19. Suspected Address*
21. City
22. State
23. Zip Code
25. Suspect's First Name
26. Suspect's Last Name
28. Suspect's Race
    -- Select One --AsianBlackHispanicWhiteUnknown
29. Suspect's Gender
    -- Select One --MaleFemaleUnknown
31. Suspect's Date of Birth (If Known)
33. Description of Activity or Reason for Belief*
35. Additional Information
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field