Citizen Request Form
For Office Use Only
COMPLAINT
You must determine which police division you live in before completing this form. Go to In Your Neighborhood 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
(Last Name First):

Beeper:


Other Suspect(s): (See Comments)
(Tattoo, Scar, Hat, Etc.,)

VEHICLES
Year - Make - Model
Color/Color
Body Type
License No.
State
1.
2.
CITIZEN
Would It Be OK if an Officer Called You?
(Last, First, Middle):




NARRATIVE


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