Drug Activity Complaint Form

Drug Activity Complaint

FLAGLER COUNTY SHERIFF'S OFFICE

1001 JUSTICE LANE

BUNNELL, FLORIDA 32110

PHONE: 386-586-4801 - FAX: 386-437-7529

The Flagler County Sheriff's Office is extremely concerned about drug activity in our community. Any information privded is not for public information use and does not constitute an official complaint. Your cooperation is very important, but do not take unnecessary risks or actions on your own.

OPTIONAL -- WILL BE HELD AS CONFIDENTIAL


YOUR NAME:

ADDRESS:

HOME PHONE:

WORK PHONE:

EMAIL ADDRESS:


PLEASE PROVIDE AS MUCH INFORMATION AS POSSIBLE.
LIST "UNKNOWN" IF YOU CANNOT ANSWER A QUESTION.

HOUSE NUMER:

RENTED OR OWNED?


Street:

LANDLORD INFORMATION

Landlord Name:

Landlord Adress:

Landlord Phone:

Describe in as much detail as you can, the house or lcation where activity is occurring (i.e. color of house, driveway, backyard, single/two story house, fenced, apartment etc.).

Have the occupants of the residence covered up or installed bars on the windows?


Have the occupants of the residence reinforced the doors on the residence or taken any other security measures that seem peculiar to you?


If Yes, describe below

List any names of persons that you know that either occupy the residence or visit this location. If possible, describe or list any physical characteristics (i.e. sex, race, age, height, hair, tattoos, etc.

Vehicle 1

Describe vehicles used by those who occupy or frequently visit the residence or location:

License Plate Number:

State:

Make:

Model:

Year:

Color:

Lives at Residence?


Vehicle 2 (optional)

License Plate Number:

State:

Make:

Model:

Year:

Color:

Lives at Residence?


Vehicle 3 (optional)

License Plate Number:

State:

Make:

Model:

Year:

Color:

Lives at Residence?


Describe any patterns of traffic to the residence or location that have been observed (i.e. numbers of visitors on foot or vehicle; particular day of week or hours of day when traffic is the heaviest; how long they stay, etc.

Describe any apparent drug transactions or drug paraphernalia that you may have seen near the vicinity of the residence or location (i.e. exchange of money or goods for packages, syringes or other material lying on the ground, people apparently acting as a lookout, etc.).

What kinds of drugs are being sold and how did you obtain this information?

Describe any other suspicious activities related to this residence or location (i.e. carrying weapons, receiving suspicious merchandise, intimidating/threatening behavior, etc.).

How long has this activity been occuring and does it seem to be a consistent pattern or happen occasionally?

Do you know if anyone else is gathering information?

Are you providing information they have given you or are they filling out their own report?

If they are not filling out a report, please encourage them to do so. Remember, the more information the department has, the better prepared it will be to look into this suspected activity.

If there is any other information you would like to include, please do so below.

We encourage you to continue to monitor this activity and to keep logs describing vehicles, person and activities that frequent or occur at this location.

The Flagler County Sheriff's Office would like to thank you for helping your community and your sheriff's office.