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White Sulphur Springs Police Department Drug Enforcement Citizen Tip Form What illegal drug or alcohol behavior do you wish to report? ____________________________________________________________ ______________________________________________________________________________________ _______________________________________ ______________________________________________________________________________________ _______________________________________ ______________________________________________________________________________________ _______________________________________ Where did this take place? Who was involved? (Suspect names, contact information and descriptions, along with what they did or were suspected of doing will be helpful): _____________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ _______________________________ What makes you believe what is occurring is illegal? _____________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________________ _______________________________________ How do you know about it? ______________________________________________________________________________________ _________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________ What additional information can you tell us that might be useful? _______________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ _______________________________ Optional Information: You may submit this information anonymously, but would be most helpful if you could provide your name and number so we can contact you should more information be needed. Any information provided will be kept confidential: ______________________________________________________________________________________ __

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Page 1: storage.googleapis.com · Web viewHow do you know about it? ... but would be most helpful if you could provide your name and number so we can contact you should more information be

White Sulphur Springs Police Department

Drug Enforcement Citizen Tip FormWhat illegal drug or alcohol behavior do you wish to report? ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Where did this take place? Who was involved? (Suspect names, contact information and descriptions, along with what they did or were suspected of doing will be helpful): ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What makes you believe what is occurring is illegal? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

How do you know about it? _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What additional information can you tell us that might be useful? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Optional Information: You may submit this information anonymously, but would be most helpful if you could provide your name and number so we can contact you should more information be needed. Any information provided will be kept confidential: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Name: _______________________________________________________________________________Phone number: _____________________________________________________________________

Please mail, fax or email this form to: White Sulphur Springs Police Department

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585 Main Street, West White Sulphur Springs, WV 24986(304)-536-1466(304)-536-9272 faxEmail: [email protected]