Douglas County, Oregon
The information entered below may assist the police is addressing a problem of drug trafficking in your neighborhood. Please complete as much of the form as possible, and be detailed.

You are not required to provide the information below, nor are you required to identify yourself. Please be aware that anonymous tips can only be used by the police for information. Please feel free to provide us with the means to contact you in the 'comments' section below, and we will keep that information and your identity confidential at your request, unless ordered to disclose it by a court of law.

Thank you for helping us help you.
Drug Report Form
Offender's Name:
Possible Nicknames:
Offender's Address:
Automobile Used:
License Plate #:
License Plate State:
Location of drug activity: Building Street Vehicle Other
Weapons: Handgun Rifle Shotgun Unknown
Are there dogs/pets? No Yes
If so, please describe:
Are there any lookouts? No Yes
What type of drugs?
Where are drugs hidden?
Time of drug activity:
Day of drug activity:
Additional info or comments:
Image Verification Please re-enter the letters in the image: