Confidential Narcotics Report Form


Use this form to report narcotics activity or drug dealers that you observe in your neighborhood. The information you provide will help us successfully respond to the problem of drug trafficking in your community. Please complete as much of the form as possible. You may submit this form as often as necessary. Please complete a separate form for each location and/or suspect that you wish to provide information about.

The information you submit will be forwarded to an investigator in your area for further investigation and enforcement. Investigators may contact you for additional information if you wish. If you choose to remain anonymous, however, be assured that the information you provide will be acted upon.

Important Numbers

Narcotics Unit
(216) 443-6095

Anonymous Complaint Line
(216) 443-6028

Tip Line
(216) 443-6265
(216) 443-6256

Location of Activity

Where does the activity occur at the above location?

Location Security

Help us determine what we're up against so we can take the necessary precautions. If you don't know, please leave this section blank.
Have you seen guns at this location?
Are there any lookouts?
Are there any children at this location?
If yes, please specify number of children below:
Are there dogs at this location?

Activity Details

Type of Drug Activity
Days when activity is present
Times when activity is present

Describe the Activity

Remember, you can't tell us too much!

Drug Dealer Information (if known)

Please describe the violator's appearance. Include scars, tattoos, clothes, jewelry descriptions, hair styles and any other distinguishing marks. If you can't provide a description enter "Unknown" in this space.

Describe any unique features like damaged parts, accessories, sun roofs, etc. The idea is to give us a unique description of the car so we can immediately recognize it.

Your Information

This area is completely optional. You do not have to provide this information to us. If you decide to, we will use it only to contact you for additional information. This information will be kept strictly confidential.
May we call you for additional information?


  
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