This information requested below will help the EGFPD and the Pine to Prairie Drug Task Force address the problem of drug trafficking in your neighborhood. Please complete as much of the information as possible. It will be sent directly to the Drug Task Force Commander.

All information will be held STRICTLY CONFIDENTIAL!

 

Thank you for helping us help you!

 

How do you know the following information? Is it a rumor or have you observed something specifically for yourself? You will be kept anonymous, but we need to know HOW you know the information.*

Offender Information

Offender's Name:

Possible Nickname:

Offender's Address:

Age:

Sex:

Select One Male Female Unknown

Race:

Select One White White-Hispanic Black Black-Hispanic Indian/Alaskan Asian/Pacific Islander Other Unknown

Height:

Weight:

Automobile Information

Year:

Make:

Color:

License:

Do they own the car?

Yes Yes, but someone else drives No, they're a passenger Unknown

Drug Trafficking Information

Location Where Drugs Are Being Sold:*

Select One Home Business Parking Lot Alley School Other

If other, please specify:

Address Where Drugs Are Being Sold:

Weapons:*

Select One Handgun Rifle/Shotgun Knife Other None

If other, please specify:

Are There Any Dogs or Other Pets:

Select One Yes No Other

If other, please describe:

Are There Any Lookouts:*

Select One Yes No

If yes, where do they stand and what do they look like?

What days of the Week is traffic heaviest:

What hours of the day is traffic heaviest:

Type of Drugs Sold:*

Select One Marijuana Cocaine/Crack Meth Prescriptions Ecstacy Mushrooms Other Unknown

If other, please specify:

Where do the sellers hide their drugs:

Additional Information or Comments

Contact Information

Can we contact you?

Select One Yes No

You will continue to remain anonymous!
We can more effectively pursue tips if we can verify the information.
You do NOT need to leave your name.
Please include a phone number: