Report Illegal Dumping

Citizen Tip Form

Violation Information:

Date of Violation:
Time of Violation:
Location of Offense:  
Brief Description of Violation:  

Vehicle Information:

Year:
Make:
Model:
Color:
License Plate #:   
State:
Distinguishing Marks, Logos, etc.:   

Suspect Description:

Gender:  

  Male  

  Female  

  Other  

Height:
Weight:   
Hair:
Eyes:

 

Race:  

  African-American  

  Asian  

  Caucasian  

  Hispanic  

  Native American  

  Pacific Islander  

  Other  

Clothing Description:    

Complainant Information

Name:
Phone Number:
Address:
Email Address:    

 

Do you give consent for a law enforcement officer to contact you if necessary?  

  Yes   

  No   



Security Measure