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SUSPICIOUS ACTIVITY REPORT

Fields marked with a red asterisk (*) are required. Please provide as much detailed information to help us investigate this activity.

DISCLAIMER:
If you wish to report a suspicious incident or unusual activity that may be related to Homeland Security and requires immediate police response, you should contact your local law enforcement agency by dialing 9-1-1.

Activity Details
*Type of Incident:
Date:
Time:  : 
Location Name/Description:
Number:
Street Name:
Mile Marker:
City:
State:
County:
Zip Code:
*Description:
Suspect Details (if more than one person, add information to Description below):
First Name:
Last Name:
Alias(es):
Date of Birth, if known:
Age Range: Minimum Age:     Maximum Age:
Height:
Weight:
Hair Color:
Eye Color:
Sex:
Ethnicity:
Description:
If the suspect has any distinguishing marks (scars, tattoos, piercings, etc.), please describe them in the field below.
Distinguishing Marks:
Vehicle Details
Type:
Make:
Model:
Color:
Year:
License Plate No:
License State:
Vehicle Description:
Your Information (optional):
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Age:
Contact Phone: () -
Email:
Contact me for more information.
If you are unable to complete this form or would prefer to speak with a person, please call (855) 642-4847.
Callers can remain anonymous.

 

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