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Welcome to the City of Papillion, NE, Mayor's Hotline

Today is Saturday, November 21, 2009.

Illegal Drug and/or Alcohol Activity

WARNING! Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 911.

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Purpose. This form is used to report information regarding illegal drug and/or alcohol activity. ***IF OCCURRING NOW, CALL 911.***

* Information is required.

Contact Information

First Name:
Last Name:
Business Name:
Email:
Daytime Phone:	() –
Fax:	() –
Address:
City:
State:
ZIP:

Issue/Problem Location:

* Address:	- Or Other Not Listed -
Unit:

	Provide any additional information on problem location in the box below.

* Preferred Method of Response:

U. S. Mail

Telephone

Fax

No Response Required

What type of activity are you reporting?

Drug dealing

Drug use

Alcohol use

Where have you witnessed this activity?

Street

Alley

Home

Car

Business

What is the location of where the activity is taking place (nearest address if an exact location is not provided above, intersection or cross-street, landmarks, etc.)?

How often is the drug or alcohol activity taking place?

During what time does this occur most often?

Morning

Afternoon

Evening

Other

If Other, please explain:

Who is involved?

Adults

Juveniles

Both Adults and Juveniles

Unknown

What gender are they?

Male

Female

Both Male and Female

Unknown

How many people are involved?

If you have a description of the people involved, please provide it in the space below.

Check here to have email confirmation of this request sent.

* Information is required.

Notes:

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