The information requested below will assist the West Columbia Police Department with the problem of ciminal activity in your neighborhood. Please complete as much of the information as possible. This information is sent to the West Columbia Police Department's Investigation Division. All information will be held in STRICT CONFIDENCE.

 

Thank you for helping us help you!

 

Offender Information

Offender's Name:

Possible Nickname:

Offender's Address:

Age:

Sex:*

Male Female

Race:*

White Black White-Hispanic Black-Hispanic Indian/Alaskan Asian/Pacific Islander Other

Height:

Weight:

Automobile Information

Year:

Make:

Color:

License:

Criminal Activity Information

Location Where Criminal Activity is taking place:*

Select One Building Street Other

If other, please specify:

Address Where Crimianl Activity is Taking Place:

Weapons:*

Select One Handgun Rifle/Shotgun Other

If other, please specify:

Are There Any Dogs or Other Pets:*

Select One Yes No Other

If other, please describe:

Are There Any Lookouts:*

Select One Yes No

Additional Information or Comments