Fill out this form to make reports on criminal activity in your area. This information will be kept confidential and used for law enforcement purposes only.

Fields marked with "*" are required.

Criminal Activity Information

Type of Criminal Activity*:	examples: burglary child pornography possession of stolen property
Address of criminal activity:	Street Address or County Road address Apartment number, if applicable City* State
	If you've actually seen criminal activity, state when: Please provide approximate date if exact date is not available, and any other details that may be helpful.
	Are there any weapons, booby traps or guard dogs at the location?
	Are there any children present at the location?

Suspect Person Information

Suspect Name:
Suspect Address:
Suspect Age or Date of Birth:
Suspect Race:
Suspect Height:	ft. in.
Suspect Weight:	lbs.
Suspect Hair color:
Suspect Eye color:
Suspect Other Characteristics:	any features or characteristics that help distinguish the suspect from other individuals - such as scars, tattoos, etc.
Suspect Employer:
Suspect Vehicle Year:
Suspect Vehicle Make:
Suspect Vehicle Model:
Suspect Vehicle Color:
Suspect Friends/Associates
Suspect #2 Name:
Suspect #2 Address:
Suspect #2 Age or Date of Birth:
Suspect #2 Race:
Suspect #2 Height:	ft. in.
Suspect #2 Weight:	lbs.
Suspect #2 Hair color:
Suspect #2 Eye color:
Suspect #2 Other Characteristics:	any features or characteristics that help distinguish the suspect from other individuals - such as scars, tattoos, etc.
Suspect #2 Employer:
Suspect #2 Vehicle Year:
Suspect #2 Vehicle Make:
Suspect #2 Vehicle Model:
Suspect #2 Vehicle Color:
Suspect #2 Friends/Associates
Suspect #3 Name:
Suspect #3 Address:
Suspect #3 Age or Date of Birth:
Suspect #3 Race:
Suspect #3 Height:	ft. in.
Suspect #3 Weight:	lbs.
Suspect #3 Hair color:
Suspect #3 Eye color:
Suspect #3 Other Characteristics:	any features or characteristics that help distinguish the suspect from other individuals - such as scars, tattoos, etc.
Suspect #3 Employer:
Suspect #3 Vehicle Year:
Suspect #3 Vehicle Make:
Suspect #3 Vehicle Model:
Suspect #3 Vehicle Color:
Suspect #3 Friends/Associates

Contact Information

Your Name:
Your E-Mail:	Please be sure to include full address: example: yourname@aol.com
Your Phone Number:	Area Code Phone Number Extension, if applicable.