Suspected Drug House Report Form

Beaverton Police Department

215 SW Adams, MS-32, Hillsboro, OR 97123
Tel. (503) 672-9511 FAX (503) 672-9123

The Beaverton Police Department is extremely concerned about drug activity in our community. Any information provided will be kept in strict confidence and does not constitute an official complaint. It is not public information. Please provide as much detailed information as you can. Your cooperation is very important but do not take unnecessary risks or action on you own. Thank you for helping your community and your police department.

Questions about whether the information you submit is private: please read the Beaverton Police Department Web Site Privacy Policy.
Further questions: send an email to citymail@ci.beaverton.or.us.

Please enter as much information as you can about the suspected drug house.

How many neighbors are organized and involved in reporting and tracking the activities of the suspected drug house?

Is there more than one person logging all pertinent information? Yes No (Consider having only one person compiling information and ultimately writing only one report.)

Your Name: (optional)
Your Address: (optional)
Your Phone: (optional)	(Format phone number: 999-999-9999)
Your Email: (optional)

If you entered both your phone number and your email address,
please indicate your preferred method of contact: Phone Email N/A or no preference

Please provide the address of the reported drug activity. (required)
Describe the house and location. (Color, single story or two story, etc.) (required)

Have the occupants of the residence covered up or installed bars on the windows?
Have they reinforced the doors on the residence?

Do you know the name(s) of the person(s) who occupy the residence at the above address?

Is this house a rental or owner-occupied residence? Rental Owner-occupied don't know

Landlord Name:
Landlord Address:
Landlord Phone:	(Format phone number: 999-999-9999)

Can you describe the vehicles used by those who occupy the residence?

	License Plate	State	Model	Make	Year	Color	Body Damage
1)
2)
3)

Can you determine patterns of traffic to the above residence? (Number of visitors on foot or vehicle; particular days of the week or hours of the day when the traffic is heaviest; how long do visitors stay?)

Have you witnessed apparent drug transactions or drug paraphernalia near the vicinity of the residence? (Exchange of money or goods for small parcels.) Do you know what kinds of drugs are being sold? How do you know?

Are persons associated with the suspected drug house posted as “lookouts” on the property of the residence and/or corners of your block? Are “lookouts” posted during particular days of the week or hours of the day? Please explain.

Can you describe other suspicious activities related to this residence? (Carrying weapons, receiving suspicious merchandise, intimidating or threatening behavior.)

How long have the above activities taken place at this residence?
Include dates from to

Is there other information that you would like to include in this report?