ANONYMOUS TIP FORM
THIS FORM IS COMPLETELY ANONYMOUS.  THERE IS NO NEED TO GIVE YOUR NAME IF YOU DO NOT WANT. YOUR E-MAIL ADDRESS WILL NOT SHOW UP WHEN THIS FORM IS SENT

Please identify the individuals involved in the incident. Note: Please identify, to the best of your ability, what role the person played in the incident using the drop down menu, labeled "Role"

Individual #1
First name
Last name
Date of birth
Sex  Male  Female
Race:
Height:
Weight:
Hair Color:
Eye Color:
Role:
Individual #2
First name
Last name
Date of birth
Sex  Male  Female
Race:
Height:
Weight:
Hair Color:
Eye Color:
Role:
Individual #3
First name
Last name
Date of birth
Sex  Male  Female
Race:
Height:
Weight:
Hair Color:
Eye Color:
Role:
Individual #4
First name
Last name
Date of birth
Sex  Male  Female
Race:
Height:
Weight:
Hair Color:
Eye Color:
Role:

Enter the date/time and location of the incident:

Date (mm:dd:yy)   
Time (hh:mm - am/pm):
Location of Incident (Address): 

Voluntary Statement: Please describe the circumstances of the incident. Please be as specific as possible, not leaving out any detail. Tip: It is easier to describe a situation by using the Who, What, Where, When, Why,  and How format.

Format credit to the Sedgwick County Sheriffs Department

 

Chief of Police Matt Dennis
Udall Police Department 110 S. Main, Udall, Ks 67146
Non-emergency: (620) 782-3322   |   Emergency: 911   |   Fax: (620)782-3320