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ABOUT THE TIPSTER
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Today's Date:
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Name:
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Tipster's Street Address:
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Apt:
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City:
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Zip:
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County:
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(Begin all phone numbers with area code)
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Home Phone:
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Work Phone:
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Cell Phone:
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Pager:
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Other:
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If Other, please specify (parent's home, friend, etc.)
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Okay to Contact?
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Which Number?
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Who to ask for?
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Okay to leave a message?
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If yes, which number?
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NATURE OF ACTIVITY
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What is the nature of the activity?
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If Insurance Fraud, complete the INSURANCE
FRAUD SECTION below.
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POLICE CONTACT
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Did the Tipster contact the police?
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If yes, which Police Department? If No, assign a department
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If other, please specify:
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Date Notified (mm/dd/yyyy):
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Did they work with a specific officer?
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If yes, what was the name of the Officer?
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Phone number:
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Has anyone been arrested?
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Complaint number, if known:
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WHERE/WHEN CRIME OCCURRED
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Date and time that the tipster observed the activity/crime(mm/dd/yyyy):
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Time of activity:
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City where the crime occurred:
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Address/cross streets where the crime occurred:
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The location:
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SUSPECTS
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Click here for
Click here for additional suspects
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Suspect 1
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Suspect 2
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Last Name:
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First Name:
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Middle Name/Initials:
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Alias/Street Name:
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Address:
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City:
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Zip:
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DOB/Age:
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Sex:
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Height:
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Weight:
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Eyes:
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Hair:
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Race:
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Other Features:
Check all that applies.
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What is the relationship with Suspect #1?
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DESCRIPTION OF THE VEHICLE(S)
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Click here for additional
vehicles
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Vehicle 1
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Vehicle 2
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Year:
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Make:
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Model:
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Color:
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Body Style:
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Location of the vehicle:
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H.E.A.T. PROGRAM
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Have they previously reported a tip through HEAT?
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How did they hear about the HEAT Program?
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If other, please specify:
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Tip taken by:
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INSURANCE FRAUD SECTION
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The suspect is:
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BACK
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Has the owner reported the vehicle stolen to his/her insurance company?
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Name of the insurance company, if known:
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Contact person at that company?
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Their phone number?
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Policy number, if known:
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Circumstances of the fraud:
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GENERAL DESCRIPTION of ACTIVITY
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Additional Information:
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COMPLETE THE TIP
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Your name:
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Email:
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HEAT (rev. 2010)
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