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2. Complete this form if you would like to provide drug tips for investigation. 

   Email Drug Tips for additional questions or concerns.

4. Date Witnessed*
   Date Witnessed
6. Location

   Street address or nearest intersection.

8. Description*

   Please be as detailed as possible when providing information.

Leave This Blank:


10. 1. Receive an email copy of this form.
11. Email address

    This field is not part of the form submission.

12. Submit

* indicates a required field