Suspected Criminal Activity Report

ALL INFORMATION WILL BE RECEIVED ANONYMOUSLY
The purpose of this form is to provide the police with information so they may investigate suspected criminal activity.
After you complete this form, mail to:

LEAVENWORTH POLICE DEPARTMENT
100 N. 5TH STREET
LEAVENWORTH, KS 66048

The information I am providing deals with:
___ Narcotics    ___ Illegal Weapons    ___ Stolen Property    ___ Other
The activity identified above occurs at ________________________________
				                   (LOCATION)
I believe that the following person or persons are involved in the activity:
____________________    ______________    _______________________________
      (name)            (age, or DOB)         (home address / phone #)
____________________    ______________    _______________________________
      (name)            (age, or DOB)         (home address / phone #)
____________________    ______________    _______________________________
      (name)            (age, or DOB)         (home address / phone #)
____________________    ______________    _______________________________
      (name)            (age, or DOB)         (home address / phone #)
I know that the following vehicles are involved in the activity:
__________________   _________________    __________    ___________________
    (make)                (model)           (color)   (tag #, include State)
__________________   _________________    __________    ___________________
    (make)                (model)           (color)   (tag #, include State)
__________________   _________________    __________    ___________________
    (make)                (model)           (color)   (tag #, include State)
__________________   _________________    __________    ___________________
    (make)                (model)           (color)   (tag #, include State)
In your own words explain to us what the suspected criminal activity is
and where this is occuring:
Form obtained through Leavenworth-Net.
http://leavenworth-net.com