Illegal Drug Activity Report From

Illegal Drug Activity Report Form

  1. Please read the following paragraphs:

    The information I’ve provided on this form is correct to the best of my knowledge. I understand that providing false information could make me subject to fine, imprisonment, or both under State of Illinois Law.

    Complaints filed via this website are processed and may be referred to other law enforcement/regulatory agencies for possible investigation. Any investigation opened on complaints filed on this web site is opened at the discretion of the Peoria Police Department.

  2. Advisory:

    You are about to file a complaint with the Peoria Police Department. The confidentiality of the information you provide may be affected depending on state law. As such, we cannot guarantee that your complaint will remain confidential. Submitting the form indicates that you understand this.

  3. Please tell us about the location.

    As many details as you may provide will be helpful. If the activity occurs inside a business or nightclub, please tell us the name of the property.

  4. Violation Proximity:

    Please check the appropriate box if the violation location meets any of these conditions.

  5. Drug Dealer Vehicle Information:

    Use this area to tell us about any vehicles used by the drug dealer and to deliver drugs to this location.

  6. (For Example: Eldorado, Camaro, Cutlass)

  7. Please tell us about the security at this location:

    Help us determine what we're up against so we can take the necessary precautions. If you don't know the answer, leave it blank. Do not guess or assume.

  8. If you checked any boxes on the last question, please provide more details and information.

  9. Please tell us about the activity:

    Complete the following areas to acquaint us with the type of drug activity you are reporting and when it occurs.

  10. Do not exaggerate. We will be using this information to verify the report.

  11. Days when the activity is most pronounced

    Select all that apply.

  12. Times when the activity is most pronounced

    Select all that apply.

  13. Use this space to tell us about the activity. Explain as much as possible about the dealing you are reporting. This is the area where you tell us everything you know. You can't tell us too much!

  14. Please tell us about the drug dealer or distributor:

    If you know the drug dealer's name, description, current address or phone number, please provide it.

  15. Street, Apartment, City, State, ZIP

  16. Please describe the violator's appearance. Include scars, tattoos, clothes, jewelry descriptions, hair styles and any other distinguishing marks. If you can't provide a description, enter "Unknown" in this space.

  17. Important Disclaimer:

    Communications made through this electronic mail and message system shall in no way be deemed to constitute legal notice to the City of Peoria, IL, the Peoria Police Department or any of its agencies, officers, employees, agents, or representatives, with respect to any existing or potential claim or cause of action against the City or any of its agencies, officers, employees, agents, or representatives, where notice to the city is required by any federal, state or local laws, rules or regulations.

  18. Leave This Blank:

  19. This field is not part of the form submission.