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Online Drug and Vice Complaint Form
Drugs and Vice Division, Drug Complaint Form
Drug Subject
Name
Sex
Male
Female
Age or Date of Birth
Height
Weight
Eye Color
Brown
Blue
Hazel
Green
Hair Color
Blonde
Brown
Black
Gray
Bald
Other (beard, etc.)
Drug Location
Street Address
City
Apartment Number
Location
Telephone Number
Pager Number
Cell Phone Number
Vehicles
Complainant (you will remain confidential):
May an officer contact you for additional information?
Yes
No
*
Name
Street Address
Phone Number
Other:
How long at this location?
How long have they been selling?
What kinds of drugs?
Any children?
Yes
No
Any weapons?
Yes
No
Any animals?
Yes
No
Additional Information
* Required Field
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