[includes/logo.htm]

Narcotics Division

Narcotics Division Anonymous Tip Form


      Please fill out this form as completely as you can. The Clinton police department does not store or track this information, so that you can remain anonymous if you wish, No detective will follow up and contact you if you do not wish.

Please provide the following Drug Activity information:

Location , Building, Street, Vehicle, etc. 

What type of drugs?

Time of day this occurs?

Days this occur?

How do you know this activity is occurring?

Please provide the following Suspect information:

Suspects Name?

Nickname?

Age? Height? Weight?

Sex? Race?

Does Suspect carry weapons? Where?

Does Suspect carry drugs on their person? Where?

Please provide the following Building information:

Suspects Address?

Are there dogs/pets? Where?

Are there any Alarms? Defenses? Where?

Are there lookouts? How many? Where?

Does anyone else live there? Children? How many?

Are there drugs at the residence? Where?

Please provide the following Vehicle information:

What type of Vehicle?

Model?

Additional vehicles?

Any damage or identifying marks?

Vehicle's registration plate # ?

Registration plate state?

Please provide the following Additional information:

Any other neighbors or witnesses  or neighbors that we should talk to?

Any other additional info. that you think would help us?

Are you willing to speak with a Detective? May we contact you?

Name
Work Phone
Home Phone
E-mail