Suspected Drug House Form

Fill out the information and click Submit when you are finished.  The information will be sent electronically to the Detective Staff.

  1. What is the address of the Suspected Drug House?


  2. Describe the house (color, location on block, style):


  3. List names and descriptions of persons who live in the house (Names, nicknames, gender, race, age, etc.):


  4. Have you seen drugs being sold at this house?

    yes
    no
    maybe

  5. What kind of drugs are sold?

    cocaine / crack               marijuana / cannabis / pot    methamphetamine / meth        ecstacy / pills / rave drugs
other

  6. Where are the drugs sold?

    front door  back door   windows     outside   
inside

  7. What day, or days, is there the most visitors to the home?


  8. What times of the day or night has the most visitors?


  9. Average number of visitors when the house is at its busiest?


  10. Have you seen weapons or dogs at the house?

    weapons (guns, knives, etc.)
    dogs
    both
    neither

  11. Describe vehicles used by occupants of the house (color, make, model, style, License Plate, etc.):


  12. Describe the people buying drugs (age, gender, race, type of clothing, vehicles, etc.):


  13. You do NOT have to provide a name and phone number, but doing so will add to the reliability of this report and allow us to contact you for further information.

    Name
    Date of Birth

  14. Keeping in mind the above, enter your phone number in the space provided below.


This form of property of the Macomb Police Department.
Copyright © 2006 Macomb Police. All rights reserved.
Revised: 06/23/06