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2. This form has been created in order for concerned citizens to report drug dealers or suspected drug activity in your neighborhood. The information you provide on this form will be deemed strictly confidential and only officers investigating the suspected drug activity will have access to this information. The information you provide is very important to us. However, sometimes an investigator may have questions about the information you provide. In these cases, contact information could further assist the investigator. Should you elect to provide your contact information, you can be assured that your name will be held completely confidential. You may also report information anonymously if you wish. All matters will be investigated by the Marlborough Police Department. Thank you.

4. Suspect's Name
5. Suspect's Address
7. Possible Alias or Nickname
8. Suspect's Sex

   1. Male
   2. Female
   3. Unknown
10. Suspect's Age
11. Suspect's Weight
13. Suspect's Hair Color
14. Suspect's Eye Color
16. Suspect's Race
17. Address of Drug Activity
19. Location of Drug Activity
    -- Select One --StreetVehicleHouse / ApartmentBuildingOther
20. Describe Location
22. Suspect's Vehicle Description
23. Suspect's License Plate Number
25. Weapons Involved
    -- Select One --NoneShotgunRifleHandgunUnknown
26. What types of drugs are involved in the activity?

    1. Amphetamines
    2. Cocaine
    3. Crack
    4. Hashish
    5. Heroin
    6. LSD
    7. Marijuana
    8. Methamphetamines
    9. Mushrooms
    10. PCP
    11. Prescription
    12. Unknown
    13. Other
28. Describe Type of Drug
30. When does the activity normally occur?

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday
    8. All Week
    9. I Don't Know
31. What time is the location most active?
33. Location of Hidden Drugs?
34. Are you willing to speak with an investigator?*

    1. Yes
    2. No

    The information will remain confidential. In order for us to have an officer respond to this we may have to contact you. The information will still remain confidential.

36. Your Email Address

    The information will remain confidential.

37. How may we contact you?
39. Additional Info or Comments
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field