This form is completely confidential. We do
not record any computer-generated data. Please provide us with as much information
as possible.
Enter Case Number if Applicable:
Please let us know how you heard about Somerset County - New Jersey Crime Stoppers:
Please Select
Newspaper Article - Fugitive
Wanted Person Poster
Friend/Relative
Search Engine
Other
For security purposes, please re-key the TIP number
listed above:
Primary Suspect Information
Please Enter Suspect
NAME: Last, First, Middle
SEX:
Male
Female
RACE:
Caucasian
Asian
African American
Hispanic
Native American
Middle Eastern
HEIGHT WEIGHT
SUSPECT #1 GENERAL INFORMATION.
Please include the Primary Suspect's "AGE"
or "DATE OF BIRTH" and include any distinguishing marks, scars, tattoos
etc. Include the primary suspects "Address" "City"
"State" "Zip Code" and any Apartment Number or Room number if
applicable.
SUSPECT #1 PRIOR ARRESTS: Does the
suspect have a prior arrest and conviction record?
Don't Know
Yes
No
SUSPECT #1 PRIOR ARREST INFORMATION: If
you answered yes to the above question please enter any information about the prior arrest
of suspect #1
SUSPECT #1 PLACE OF FREQUENCY: Please
enter the place of employment, school or the general hangout of the suspect
SUSPECT #1 VEHICLE INFORMATION: Please enter
the Year, Make, Model, Color, and the License Plate Number of the suspect's
vehicle
Additional
Suspect Information
Please enter information if there are
additional suspects involved in the crime you are reporting. If there is more
than one additional suspect involved in the crime you are reporting please include the
information about those suspects in the "CRIME M.O." Section
below. There is ample space in this section to list any and all additional
suspects with full descriptions and information.
Additional Suspect Information
Please Enter Information about Suspect #2
NAME. Last, First, Middle
SEX:
Male
Female
RACE:
Caucasian
Asian
African American
Hispanic
native American
Middle Eastern
HEIGHT WEIGHT
SUSPECT #2 GENERAL INFORMATION.
Please Include the Secondary Suspect's
"AGE" or "DATE OF BIRTH" and include any distinguishing marks, scars,
tattoos etc. Don't forget to include the secondary suspect's
"Address" "City" "State" "Zip Code" and
any Apartment Number or Room number if applicable.
SUSPECT #2 PRIOR ARREST: Does the suspect
have a prior arrest and conviction record?
Don't Know
Yes
No
SUSPECT #2 PRIOR ARREST INFORMATION: If
you answered yes to the above question please enter any information about the prior arrest
of the #1 suspect.
SUSPECT #2 PLACE OF FREQUENCY: Please
enter the place of employment, school or the general hangout of the primary suspect
SUSPECT #2 VEHICLE INFORMATION: Please enter
the Year, Make, Model, Color and the License Plate Number of the primary
suspect's vehicle
LOCATION: Please enter the
location of the crime that is being committed (Examples Alley, Garage, Apartment etc.)
Please select the primary type of crime that is
involved. If there are additional crimes connected with the primary crime, or the crime
you are reporting is not listed please enter in the additional crime box.
other
alcohol sales to minors
arson
assault
armed robbery
bank robbery
false birth certificate or I.D.
burglary
business fraud
cable theft
child molestation
child abuse
child neglect
child pornography
child support evasion
check fraud
counterfeiting
credit card fraud
credit union fraud
cultivation of marijuana
drug sales
drug manufacturing
drug transporting
elderly abuse
embezzlement
environmental crime
fish and game (poaching)
food and agriculture
food stamp fraud
forgery
fugitive warrant
gambling/loans
gang violence
gang related (other)
graffiti
hit & run
homicide
illegal aliens
illegal fireworks
insurance fraud
IRS fraud
kidnapping
larceny
malicious mischief
medical malpractice
medi-cal fraud
medical Ins. fraud
Missing Children (LOCATION)
money laundering
parole/probation violations
postal crime
postal fraud
rape
real estate fraud
rec/selling stolen property
robbery
school crime
school grant fraud
sex crimes
smuggling
social security fraud
solicitation fraud
state insurance fraud
terrorism/bombing
theft
toxic material dumping
transit crimes
un-employment fraud
utility fraud
vehicle theft
vandalism
welfare fraud
weapons theft
weapon sales
vehicle theft
workers' compensation fraud
ADDITIONAL CRIMES: please list other crimes that the
suspect may be involved in. (Example: if the suspect is a drug dealer and
he/she also owns stolen weapons, or if the suspect is committing welfare fraud but is also
neglecting his/her children) Explain in this section.
Crime Location
in Somerset County-
New Jersey
CRIME ADDRESS: Please
enter the address of the crime, if known
CRIME CITY: Please enter the city in
which the crime was, or is being committed
CRIME COUNTY: Please enter the county in which the
crime was, or is being committed
CRIME STATE: Please select the state in which the
crime was, or is being committed
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
U.S...... Virgin Islands
Puerto Rico
Mexico
ZIP CODE:Please enter the zip code of the crime
location if known
CRIME DATE: Please enter the date that the crime
occurred mm/dd/yyyy (note; if this is an ongoing continuous crime such as
drug dealing at a particular location please type in the word "ongoing"
CRIME TIME: Enter the time the crime occurred
"if applicable"
APPROACH METHOD: Please enter in the text
area what you think the best method for law enforcement to approach the suspect, suspects,
or the location of the crime.
DRUGS INVOLVED: Are there drugs involved
in the criminal activity
Yes
No
WHAT KIND OF DRUGS: If yes to the above
question please list the types of drugs that are involved
Please enter the Method of Operation (Crime M.O) for
the Criminals. Don't forget additional suspect names, addresses, and locations in this
area. Please also include information about the activity and if there are
possibly children present that are affected by the any ongoing criminal activity
WEAPONS INVOLVED: Are there any weapons
involved?
Yes
No
WEAPONS DESCRIPTION: If yes to the above
question, Please list and describe the type of weapons that are involved
WEAPONS LOCATION: Where are the weapons
kept?
DOGS: Do the suspects have any dogs?
Yes
No
KINDS OF DOGS: What kinds of dogs are involved?
DOG LOCATION: Where are the dogs kept?
GANG INVOLVEMENT: Is the suspect or
suspects involved in gangs?
Don't Know
Yes
No
GANG INVOLVEMENT INFORMATION: If you answered yes to
the above question, Please enter any information you have about the particular gang, the
name of the gang, their gang hangouts, and any other illegal activity that the gang may be
involved in.
FOLLOW UP: Are you willing to submit
additional information if it becomes available to you?
Yes
No
If so please submit your information here.
Phone where you can be contacted.
E-mail where you can be contacted.
ADD ON: Is this information an add on
(additional information) from a previous tip?
Yes
No