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2. Date
   Date
4. Tip Is Concerning:

   1. Drug Activity
   2. Wanted Persons
6. Details

   Please give as much information as possible so that investigators may follow-up quickly and efficiently.

8. Phone Number

   **Optional.  Only supply this information if you would like a follow-up call**

10. Email Address

    **Optional.  Only supply this information if you would like a follow-up email**

Leave This Blank:


12. Submit

* indicates a required field