2. Kings Mountain Police Department 

   (Illegal Narcotics Complaint Form)

4. 

6. Description of Location Involved:

8. Residence Type*
   -- Select One --On StreetHouseApt BuildingBusiness
9. Color of Building
10. No of floors
12. Address:
14. Apartment #
15. Phone # (If Known)
17. Additional Comments (Regarding Location)

21. Identity of Person(s) Selling: 

23. First Name
24. Last Name
26. Race
    -- Select One --White BlackAsianOther
27. Sex
    -- Select One --MaleFemaleOther
28. Age (If Known)
30. Physical Description
32. Picture of Person (If available)

36. Description of Vehicle(s) Involved:

38. Make/Model
39. Color
40. License Plate #
41. State
43. Make/Model
44. Color
45. License Plate #
46. State
48. Make/Model
49. Color
50. License Plate #
51. State
53. Make/Model
54. Color
55. License Plate #
56. State
58. Picture of Vehicle
59. Picture of Vehicle
63. Type of Drug(s) Involved:

    1. Marijuana
    2. Crack/Cocaine

    1. Cocaine
    2. Heroin

    1. Meth
    2. Fentanyl

    1. Prescription Pills
    2. Other

67. Method of Operation

69. Most active day of the week:
70. Most active hours of the day:
72. Selling to:

    1. Anyone
    2. Only persons they know
    3. Unknown
    4. Other
73. Selling from:

    1. Inside of house
    2. Vehicle
    3. Other
    4. Unknown
75. Buyers approach is:

    1. Front Door
    2. Porch
    3. Rear Door

    1. Side Door
    2. Window
77. Additional comments:

79. The identity of person(s) reporting suspected drug activity is kept in the strictest of confidence. Would you be willing to speak with a Detective about your information?

81. Please Check one

    1. Yes
    2. No
83. Name
84. Email Address
85. Phone Number
Leave This Blank:


87. 1. Receive an email copy of this form.
88. Email address

    This field is not part of the form submission.

89. Submit Submit and Print

* indicates a required field