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2. To report criminal activity in Montgomery County, call your local police department or complete the following boxes.

   All information is kept strictly confidential.

4. Suspect name (including aliases)
5. Suspect Address
7. Please describe the criminal activity:
9. Location of criminal activity
11. Suspect vehicles (Make, Model, Color, License Plate #)
13. Does the suspect(s) carry firearms?
15. Reporting party contact information (optional). All information, including your contact information is kept strictly confidential.
17. First Name
18. Last Name
20. Address1
22. Address2
24. City
25. State
26. Zip
28. Home, Work or Cell Number
29. May someone call you confidentially to discuss your complaint?

    1. Yes
    2. No
30. If Yes, when is the best time to call?
32. Email address
33. May someone email you for more detailed information?

    1. Yes
    2. No
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field