This information requested below will help the Montgomery Police Department address the problem of drug or gang activity in your neighborhood. Please complete as much of the information as possible. This information will be forwarded to the Montgomery Police Department's Patrol Division. All information will be held in STRICT CONFIDENCE.

 

Thank you for helping us help you!

 

Offender Information

Offender's Name:

Possible Nickname:

Offender's Address:

Age:

Sex:*

Select One Male Female

Race:*

Select One White Black Hispanic Indian/Alaskan Asian/Pacific Islander Other

Height:

Weight:

Automobile Information

Year:

Make:

Color:

License:

Drug or Gang Activity Information

Address Where Drug or Gang Activities Are Being Observed:

Location Where Drug or Gang Activities Are Being Observed:*

Select One House Garage Street Backyard Other

If other, please specify:

Weapons:*

Select One Handgun Rifle/Shotgun Other I Have Not Seen Any Weapons

If other, please specify:

Are There Any Dogs or Other Pets:*

Select One Yes No Other

If other, please describe:

What days of the week is traffic heaviest:*

Select One Sunday Monday Tuesday Wednesday Thursday Friday Saturday I'm not sure

What hours of the day is traffic heaviest:*

Select One Early Morning (before 9 AM) Late Morning/Afternoon (9 AM -2 PM) Late Afternoon/Evening (2 PM - 6 PM) Evening/Late Evening (6 PM - 10 PM) Midnight Hours (after 10 PM) I'm Not Sure

Additional Information or Comments: