Narcotic Complaint Form

You can submit anonymous tips by following the TIP411 link on the home page. You can also send an anonymous text by texting "CPDTIP" + your tip to 847411. Use this form to report narcotics activity or drug dealers that you observe in the Town of Collierville. The information you provide will help the Collierville Police Department successfully respond to the problem of drug trafficking in your community. Please be observant and complete as much of the form as possible. You may submit this form as often as is necessary. The information you submit will be forwarded to the Special Enforcement Unit for further investigation and enforcement. Investigators from this unit may contact you for additional information if you elect to provide your name in the space provided below. If you elect to remain anonymous, however, be assured that the information you provide will be acted upon. In any case, all information will be held in STRICT CONFIDENCE. Thank you for helping us help you.


Street address where dealing occurs

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Exactly where does dealing occur?

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If other, please describe location.

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Are there dogs at this location?

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Are the doors reinforced or gated?

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Are the windows reinforced or gated?

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Describe how the drug sales occur.

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What days have the heaviest traffic?

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At what time is the heaviest traffic?

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What are the primary drugs being sold?

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If other, please describe the drug.

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Please describe the vehicles used in the sales. If possible, include the vehicle manufacturer, the model, color, and license plate.

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Dealer Identity


Dealer's full name

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Dealer's nickname

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Dealer's age

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Dealer's Gender

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Dealer's Race / Ethnicity

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Unique features of dealer

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Dealer's Address

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Dealer's Phone Number

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The following information is strictly optional.


Your name

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Your address

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Your phone number

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Your email address

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