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2. The information you provide will help the Missoula Police Department address the problem of drug trafficking in your neighborhood. Please complete as much of the information as possible. This information will be forwarded to Missoula drug task force officers. All information will be held in STRICT CONFIDENCE.
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6. Thank you for helping us help you!
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10. Offender's Name:
12. Possible Nickname:
14. Offender's Address:
16. Age:
18. Sex:
    -- Select One --MaleFemale
20. Race:
    -- Select One --WhiteBlackHispanicNative AmericanAsian/Pacific IslanderOther
22. Height:
24. Weight:
26. 
    
28. AUTOMOBILE INFORMATION:
30. 
    
32. Year:
34. Make/model:
36. Color:
38. License:
40. Distinguishing characteristics?
42. 
    
44. DRUG TRAFFICKING INFORMATION
46. 
    
48. Location where drugs are being sold:
    -- Select One --StreetBuildingVehicleOther
50. If other, please specify:
52. Address where drugs are being sold:
54. Weapons:*
    -- Select One --HandgunRifle/ShotgunOther
56. If other, please specify:
58. Are there any dogs or other pets?*
    -- Select One --YesNoOther
60. If other, please describe:
62. Are there any lookouts?
    -- Select One --YesNo
64. What days of the week is traffic heaviest?
66. What hours of the day is traffic heaviest?
68. Type of drugs sold:

    1. Marijuana
    2. Cocaine
    3. Meth
    4. Prescriptions
    5. Heroin
    6. Other
70. If other, please specify:
72. Where do the sellers hide their drugs?
74. Additional Information:
76. 
    
78. If you would be willing to speak with our detectives, please include the following:
80. 
    
82. Name:
84. Daytime Phone Number:
Leave This Blank:


86. 1. Receive an email copy of this form.
87. Email address

    This field is not part of the form submission.

88. Submit

* indicates a required field