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2. Description:*

   Explain who is involved, what is going on, when it happened (or is going to happen), where it happened (or where it will happen), and how you know this information.

   Your submission is completely anonymous; however, we do ask that you consider providing basic contact information at the bottom of this form.  It may be extremely helpful for an officer or detective to be able to call you to get clarification on the information you provide.  If you do provide your contact information,  YOU CAN STILL REMAIN ANONYMOUS for the investigation and/or documentation of this information.  

4. OFFENSE INFORMATION
6. Offense Type:
   -- Select One --Assault / BatteryBurglaryDomestic AbuseDrugsFraudHit and RunProbation / ParoleProstitutionRobberyScamSexual AssaultTheftWeaponsOTHER
7. If Other, Describe Offense:
9. Address of Incident
10. Date and Time of Offense:
    Date and Time of Offense:

    Date and Time of Offense:
12. OFFENDER INFORMATION
14. First Name
15. Last Name:
16. Date of Birth:
17. Age:
19. Race:
    -- Select One --American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite
20. Sex:
    -- Select One --FemaleMale
21. Nickname / Street Name:
22. Offender Phone #:
24. Links to Social Media:
25. Social Media Profile Names / Handles:
27. Other Offender Information or Additional Offender Information:
29. OFFENDER VEHICLE INFORMATION
31. Make:
32. Model:
33. Color:
34. Year:
36. License Plate:
37. State:
38. Description (Identifying marks, bumper stickers, logos, etc.)
40. YOUR INFORMATION - YOU CAN STILL REMAIN ANONYMOUS IF YOU PROVIDE THIS!

    It may be extremely helpful for an officer or detective to be able to call you to get clarification on the information you provide.  If you do provide your information,  YOU CAN STILL REMAIN ANONYMOUS for the investigation and/or documentation of this information.  

42. Name:
43. Phone Number:
44. Email:
46. UPLOAD PICTURE(S) OR FILE(S):
48. Upload:
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field