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2. NOTE: Fields marked with an * are required
4. Incident Date and Time
   Incident Date and Time

   Incident Date and Time
6. Short Description*

   Describe the suspicious activity or situation

8. Name of Subjects

   If known

10. Describe the criminal conduct - be specific

    Include what you saw and others involved. Include addresses, age, race, vehicle description/license plate number, phone numbers.

12. Incident Location - Street Address or Cross Streets*

    e.g 1200 Travis Street

14. City*
16. If you would be willing to be contacted by an investigator

    Please complete the contact information below. Follow-up questions are always helpful.

18. Submitters First Name
20. Submitters Last Name
22. Best Contact Number
24. Email Addresses
26. Enter Email
27. Confirm Email
29. All tips are anonymous unless the submitted provides their contact information.
31. NOTICE

    Providing false or misleading information is a violation of Federal Law and may be subject to prosecution under Title 18 USC 1001. All information is subject to review and verification.

Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

* indicates a required field