Citizen Request Form

Narcotic Activity
More Patrol Requested

NLRPD Citizen Request Form

For Office Use Only

COMPLAINT

Address:

Time of Activity:
6AM-2PM 2PM-10PM 10PM-6AM

Type of Complaint/Type of Drug:

Have you noticed lookouts? If so where and how many?

Type of Weapons/Location:

How does suspect sell drugs? (from house, from car, etc.):

Suspect Sells To:
Anyone Specific Friends

Drug Stash Location Used:
No Yes Where?

RESIDENCE / STRUCTURE

Description of Structure: (Color,Condition,Etc.)

Bars on Doors/Windows:

Dog/Type:

Location of Activity:
(Deals are Inside, Outside, N,S,etc.,):

Have Police Been at This Location Recently?
Yes No Unknown
If yes, when? (Date:mm/dd/yyyy):

No. of Children/Age, Sex:

Neglect or Abuse?:
Yes No Unk

Type of Fence and Height:

SUSPECT

Suspect Name (if known) :

Nickname, AKA:

Race: Sex: Hair: Age: HT: WT: Facial Hair:

Build: Other Suspect(s): Yes No (See Comments)

Other Descriptions: (Tattoos, gold teeth, scars, etc.,)

Phone Number(s) if known:

VEHICLES

Year - Make - Model

Color

Body Type

License No.

State

CITIZEN

Would It Be OK if an Officer Called You? Yes No

Your Name (Last, First, Middle):

Phone Number:

Address:

When is the best time to contact you?

E-mail Address:

NARRATIVE

Comments or additional information: