Weed Police Department Citizen Request Form

Narcotic Activity
More Patrol Requested

For Office Use Only

Address:

Cross Street:

Time of Activity:
6AM-2PM 2PM-10PM 10PM-6AM

Type of Complaint/Type of Drug:

Lookouts/Where and How Many:

Type of Weapons/Location:

Profile of Suspects' Drug Buys:

Suspect Sells To:
Anyone Specific Friends

Drug Stash Location Used:
No Yes Where?

Police Scanner Being Used?:
Yes No UNK

STRUCTURE

Description of Structure: (Color,Condition,Etc.)

Bars on Doors/Windows:

Dog/Type:

Location of Activity:
(Deals are Inside, Outside, N,S,etc.,):

Have Police Been at This Location Recently?
Yes No
If so, When (Date:mm/dd/yyyy):

No. of Children/Age, Sex:

Neglect or Abuse?:
Yes No
Unk

Type of Fence and Height:

SUSPECT

Primary Suspect (Last Name First):

Nickname, AKA:

Cell Phone: Yes
No

Race: Sex: Hair: Age: HT: WT: Facial Hair:
Build: Other Suspect(s): Yes No (See Comments)

Other Descriptions: (Tattoo, Scar, Hat, Etc.,)

Phone Number(s):

VEHICLES

Year - Make - Model

Color/Color

Body Type

License No.

State

CITIZEN

Would It Be OK if an Officer Called You? Yes No

Complainant (Last, First, Middle):

Phone Number:

Address:

Other Info:

E-mail Address:

NARRATIVE

Comments, Associates, Etc.