VICE COMPLAINT FORM

DATE______COMP # ______PAGE_____OF_____

LOCATIONADDRESS______BORO:______

CD:______BLOCK:______LOT: ______

TYPE OF[ ] GAMBLING [ ] PROTITUTION [ ] SOCIAL CLUB

OPERATION[ ] OTHER______

SPECIFIC[ ] APT. #______[ ] STORE #______[ ] OTHER______

LOCATIONSTORE NAME (IF APPLICABLE): ______

IN BUILDINGDESCRIBE WHERE OPERATION TAKES PLACE (i.e. floor, side of bldg. etc.) ______

HOURS OF DAY(S) OF WEEK: ______

OPERATIONTIME OF DAY: ______

DESCRIPTIONNAME (IF KNOWN):______NICKNAME:______

OF SUSPECTSUSPECT NATIONALITY: ______AGE: ______

SUSPECT GENDER: [ ] MALE [ ] FEMALE

ETHICITY/RACE: [ ] BLACK [ ] WHITE [ ] HISPANIC [ ] ASIAN

HEIGHT: ______WEIGHT: ______COMPLECTION: ______

HAIR COLOR: ______HAIR STYLE: ______

EYE COLOR: ______FACIAL HAIR (Describe): ______

SCARS OR OTHER IDENTIFIABLE TRAITS: ______

DISTINCTIVE CLOTHES: ______

DISTINCTIVE JEWELRY: ______

ACCENT: [ ] YES TYPE: ______[ ] NO

METHOD OF(Describe how the operation works): ______

OPERATION______

______

SUSPECT’S(i.e. prostitute, numbers runner, etc.) ______

ROLE______

TYPICAL______

CUSTOMERS______

ADDITIONAL______

COMMENTS______

______

______

______

CONTACT:______TELE: ______

REPORT OF DRUG TRAFFICKING AT (BUILDING ADDRESS): ______

MANAGEMENT COMPANY: ______TELEPHONE # ______

BUILDING# Floors: ______# of Apts.: ______# of Comm. Units: ____ Boro: ______

INFORMATION# of Apts. on 1st floor:_____ # of Apts. on other floors:_____ Precinct: ______

LOCATION OF[ ] Lobby [ ] Front of building [ ] Apt # _____

DRUG SALES[ ] Hallway on floor # _____ [ ] Stairway between floors _____ & ______

(check only one)[ ] Other location (i.e. roof, basement) ______

If apartment, Name of Occupant ______

Status of Apt: [ ] Legally Occupied [ ] Squatter or Licensee [ ] Trespasser

DRUGS SOLD[ ] Crack [ ] Marijuana [ ] Heroin [ ] PCP [ ] Powdered Cocaine [ ] Pills

[ ] Other ______

PACKAGING[ ] Glassines [ ] Vials [ ] Slabs [ ] Plastic Bags

Other (describe) ______Color or Brand Name______

MAIN TIME OF______

DRUG SALES

SUSPECTName (if known):______Nickname:______

DESCRIPTIONDoes suspect reside in the building [ ] Yes [ ] No

(use one form forIf yes, in which apartment? ______

each suspect)If resident, suspect is [ ] Leaseholder/Tenant [ ] Squatter/Licensee

[ ] Secondary Tenant (spouse, son, daughter etc.) If secondary tenant, what is the relationship between Leaseholder and Suspect? ______

Is suspect a visitor to the building? ____ If so which apartments are visited? ______

PHYSICAL APPEARANCE OF SUSPECT

[ ] Male [ ] FemaleDOB or approx. age: ______

[ ] Black [ ] White [ ] Hispanic [ ] Asian Nationality: ______

Height: ______Weight: ______Complexion: ______

Hair Color: ______Hair Style: ______

Eye Color: ______Facial Hair (Describe): ______

[ ] Glasses, Scars of other identifiable traits: ______

Distinctive Clothes: ______

Distinctive Jewelry: ______

Accent: [ ] YES Type: ______[ ] NO

TYPICAL(i.e. age, race/ethnicity, sex) ______

CUSTOMERSDoes suspect only sell to persons known to him/her? [ ] Yes [ ] No [ ] Don’t know

LOOKOUTS ORDoes anyone act as lookout or steerer? [ ] Yes [ ] No [ ] Don’t know

STREERSIf yes, where may they be found?______

HOW ARE SALESDescribe how a typical customer buys drugs and specify this suspect’s role in the sales

CONDUCTED?operation?______

______

______

VEHICLESAre any vehicles used in the operation? [ ] Yes [ ] No

[ ] Car [ ] Van [ ] SUV [ ] Truck [ ] Other ______

Color ______Make ______Model ______

License Plate # ______State ______

COMMENTS(i.e. code words, weapons) ______

______

______

Shared with permission of Housing Crime Specialists: