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** Please provide as much information below as possible.**

Address of suspected drug activity

City, State and Zip

Describe the house and property including color, location on the block, single or
multiple stories, etc.:

Do you know the names of the occupants of the suspected drug house? Yes No

If yes, please provide:

Description of the occupants (gender, race, approximate age, height, weight, scars, tattoos, etc.)

Are there any children in the residence? Yes No

If yes, how many?

What are their approximate ages?

Have the occupants of the suspected drug house taken measures to
reinforce the residence (bars on windows, video surveillance, etc.? Yes No

If yes, please explain:

Do you know the residents to own or carry weapons? Yes No

Please describe the vehicles used by the occupants of the suspected drug house,
include the plate number, state, year, make, model and color:

Do you know or suspect the type of drugs that are being sold? Yes No

If yes, please indicate the type of drug(s):

Have you witnessed apparent drug transactions near this residence? Yes No

Please documents any patterns of unusual activity at this location, such as specific
time of day/night when foot or vehicle traffic is greatest:

How long has the suspected drug activity been occurring?

Do you know if the suspected drug house is a rental property? Yes No

If yes, please list the owner name and contact information:

Please use the space below to list any other information you deem pertinent regarding this residence:

To send your complaint, hit the Submit button below.