Primary Suspect Information

First Name of suspect:

Middle Name of suspect

Last Name of suspect:

Male/Female:

FemaleMale

Date of Birth/Age of suspect:

Address of suspect:

Phone Number of suspect:

Place of Work:

Physical Description/Nicknames of suspect:

Vehicles Driven, tag numbers and description:

Associates of suspect:

Information you wish to provide and how do you know this:

If you wish to be contacted, please provide your information below:

Name:

Phone Number:

Address:

Email:

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