2. The Norton Police Department requests this information to assist in further investigating your tip. You do not have to provide your name or other personal information; however, failure to provide the requested information may impede or preclude law enforcement agencies from investigating your tip. Any information you provide about yourself or others may be used for authorized purposes.

   This form should not be used to report emergencies.  If you need to report an emergency dial 911.

6. First Name
7. Last Name
9. Address1
10. City
11. State
13. Zip
14. Date of Birth
    Date of Birth
15. Select One*

    1. I do not wish to share my personal information
    2. I am willing to share my personal information with law enforcement
19. Type
    -- Select One --MobileHomeWorkOther
20. Phone Number
21. Ext.
23. Email Address
24. Select One*

    1. I do not wish to share my contact information
    2. I am willing to share my contact information with law enforcement
28. Information*
Leave This Blank:


30. Submit

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