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Incident Date

Approximate Time

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Name of Suspect(s): (Please include known aliases or street names.)


Short Description:*

(e.g. Sex Trafficking, Labor Trafficking, Human Trafficking, Kidnapping, Runaway, Suspicious Person, Suspicious Activity)

Describe the criminal conduct, what you saw or heard and others involved - be specific

(Include addresses, age, race, vehicle description / license plate #, phone numbers)*


Incident Location - Street Address or Cross Streets:*

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State:

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Providing false or misleading information is a violation of Federal Law and may be subject to prosecution under Title 18 USC 1001.  All information is subject to review and verification.