Assistance Request

Reporting Suspicious Narcotics Activity in your Neighborhood

*This is not an official Sheriffs Office Incident Report.*
*If you are reporting a crime please call 911*
for a non-emergency crime call 561-688-3000 (South County 561-995-2800)

 

Providing your name is not required although it is recommended so we may contact you for further information if necessary. The information you provide will be given to the appropriate personnel for follow-up. All information you submit, including your identity if disclosed, will be kept confidential if you desire.

Your Information:

Your Name

Street Address

Address (cont.)

City

State

Zip

Telephone #

Work Phone #

Cell Phone #

Email

Activity Information

Type of narcotic(s):

Describe:

Location of Activity:

Please describe in detail the type of activity observed:

Please describe in detail the type of activity observed:

Please provide any known personal and/or vehicle information (including auto tag numbers) of the individual's involved in the activity. If you do not know an individuals name either leave the space blank or enter unknown.

Individuals Involved

Individual #1

First Name

Last Name

Nick Name / Street Name

Address

Date of Birth

Race / Sex

Race

Height

Weight

Hair Color

Eye Color

Scars/Marks/Tattoos

School attended

Individual #2

First Name

Last Name

Nick Name / Street Name

Address

Date of Birth

Race / Sex

Race

Height

Weight

Hair Color

Eye Color

Scars/Marks/Tattoos

School attended

Individual #3

First Name

Last Name

Nick Name / Street Name

Address

Date of Birth

Race / Sex

Race

Height

Weight

Hair Color

Eye Color

Scars/Marks/Tattoos

School attended

Individual #4

First Name

Last Name

Nick Name / Street Name

Address

Date of Birth

Race / Sex

Race

Height

Weight

Hair Color

Eye Color

Scars/Marks/Tattoos

School attended

Vehicles Involved

Vehicles #1

Make

Model

Color

Year

Tag

State

Distinct markings

Vehicles #2

Make

Model

Color

Year

Tag

State

Distinct markings

Vehicles #3

Make

Model

Color

Year

Tag

State

Distinct markings

Vehicles #4

Make

Model

Color

Year

Tag

State

Distinct markings

May we contact me regarding this matter