Confidential Drug Tip Form

Please use this form to report narcotics activity or drug dealers that you observe in your neighborhood.

Investigators may contact you for additional information if you wish. If you choose to remain anonymous, however, be assured that the information you provide will be acted upon.

All information will be held in STRICT CONFIDENCE.

Suspect’s Name

Possible Nicknames

Suspect’s Address

Suspect’s Phone Number

Age

Suspect’s Sex

Suspect’s Race

Height

Weight

Automobile Used:

License Plate Number:

License Plate State:

Location of Drug Activity

Building
Street
Vehicle
Other

If ‘Other’ Drug Location, please specify:

What type of drugs?

Where are the drugs located (address, etc)?

In what City are the drugs located?

In what County are the drugs located?

Who else lives at the residence?

What was the time of drug activity?

Starting Time

Ending Time

What was the day of the drug activity?

Day of Activity Start

Day of Activity End

How do you know this activity is occurring?

Are you willing to speak with an investigator?

Yes
No

If you are willing to speak with us please provide the following information.

Name (optional)

Phone (optional)

Email (optional)

If you do not give your Name, Phone, or Email, how may we contact you?

Additional Info or Comments:

Utah Department of Public Safety

State Bureau of Investigation Menu

Confidential Drug Tip Form