Drug Tip Submission Form

Randolph County, GA appreciates any information that you can provide. If you feel that there is someone causing a problem in your area please complete the form below.

Investigators may contact you for additional information if you wish. If you choose to remain anonymous, however, be assured that the information you provide will be acted upon.

All information will be held in STRICT CONFIDENCE.

Suspect's Name:
Possible Nicknames:
Suspect's Address:
Suspect's Phone Number:
Age:
Sex:
Race:
Height:
Weight:
Automobile Used:
License Plate Number:
License Plate State:
Location of Drug Activity:		Building Street Vehicle Other
If "Other" Drug Location, Please Specify:
What type of drugs?
Where are the drugs located (Address, etc)?
Who else lives at the residence?
Time of drug activity?		To
Day of drug activity?		To
How do you know this activity is occuring?
Are you willing to speak with an investigator?		Yes No

If you are willing to speak with us please provide the following information.


Name (optional):
Phone (optional):
Email (optional):
If you do not give your Name, Phone, or Email how may we Contact You:
Additional Info or Comments :