Citizen Request Form

For Office Use Only
COMPLAINT
You must determine which police division you live in before completing this form. Go to Neighborhood Divisions for a list of divisions and neighborhoods.
 


 


Time of Activity:


Suspect Sells To:
Drug Stash Location Used:
Police Scanner Being Used?:
STRUCTURE
(Color,Condition,Etc.)

(Deals are Inside, Outside, N,S,etc.,):
Have Police Been at This Location Recently?

(Date:mm/dd/yyyy):
Neglect or Abuse?:
Canyon
Near By?

SUSPECT


Beeper:

Other Suspect(s): (See Comments)


VEHICLES
Year - Make - Model Color/Color Body Type License No. State
1.
2.
CITIZEN
Would It Be OK if an Officer Called You?





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