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ILLEGAL DRUG ACTIVITY REPORT FORM

Illegal Drug Activity Report Form

Use this form to report narcotics activity and drug dealers that you observe in your Peoria, Illinois neighborhood. The information you provide will help the Peoria Police Department successfully respond to the problem of drug trafficking in our community. Please be observant and complete as much of the form as possible. You may call and use this form to provide information which assist us.

The information you submit will be routed to the appropriate unit and/or patrol district. They, in turn, will notify other units and agencies as required to insure that a coordinated plan of action is initiated. If you have provided us with contact information, officers from these units may wish to contact you for additional information.

Please note that you may remain anonymous. However, if you choose to do so we will be hampered in our ability to elicit additional information from you that we may require to adequately respond to this report. Nevertheless, if you choose to remain anonymous you can be assured that the information you provide will be acted upon.

If you elect to provide us with your identity, you have our assurance that we will treat it as confidential information and will not disclose it outside this agency except as required and permitted by law.

Please include as much information as you can in the form below. Incomplete or inaccurate information will delay processing of this report and may compromise our ability to quickly and effectively respond to this complaint.

If in Peoria you may call 309-673-4521; fill out and submit this form below; or e-mail us at peoriapd@peoriagov.org. Please include all required data and as much additional information as you can in the form below. Incomplete or inaccurate information will delay processing of this report and may compromise our ability to quickly and effectively respond to this complaint.

Please read the following paragraphs:
The information I’ve provided on this form is correct to the best of my knowledge. I understand that providing false information could make me subject to fine, imprisonment, or both under State of Illinois Law.

Complaints filed via this web site are processed and may be referred to other law enforcement/regulatory agencies for possible investigation. Any investigation opened on complaints filed on this web site is opened at the discretion of the Peoria Police Department.

Advisory:
You are about to file a complaint with the Peoria Police Department. The confidentiality of the information you provide may be affected depending on state law. As such, we cannot guarantee that your complaint will remain confidential. Submitting the form indicates that you understand this.

ILLEGAL DRUG ACTIVITY REPORT FORM
* indicates required field

Please tell us about the location.
As many details as you may provide will be helpful. If the activity occurs inside a business or nightclub, please tell us the name of the property.

Violation Proximity:













Drug Dealer Vehicle Information:
Use this area to tell us about any vehicles used by the drug dealer and to deliver drugs to this location.

Please tell us about the security at this location:
Help us determine what we're up against so we can take the necessary precautions. If you don't know the answer, leave it blank. Do not guess or assume.

Please tell us about the activity:
Complete the areas below to acquaint us with the type of drug activity you are reporting and when it occurs.

If the drug being sold was not on the list, please tell us what it is in this field.









DO NOT EXAGGERATE. We will be using this information to verify the report.















Please tell us about the drug dealer or distributor:
If you know the drug dealer's name, description, current address or phone number, please provide it below.

Important Disclaimer:
Communications made through this electronic mail and message system shall in no way be deemed to constitute legal notice to the City of Peoria, IL , the Peoria Police Department or any of its agencies, officers, employees, agents, or representatives, with respect to any existing or potential claim or cause of action against the City or any of its agencies, officers, employees, agents, or representatives, where notice to the city is required by any federal, state or local laws, rules or regulations.

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