DEA Employee/Law Enforcement agencyInternal Incident/Occurrence Report Form This email form is to be used only by DEA employees and LE personnel reporting on Agency irregularities ignored or unknown by DEA management. If you wish to report on drug or narcotic activity you must contact the official DEA website located here: http://www.dea.gov/agency/domestic.htm
COMPLETE ALL FIELDS TO THE BEST OF YOUR ABILITY (Click Here to suggest ways to improve this reporting form)
Date Of Incident/Occurrence:
Time Of Incident/Occurrence:
Place or Location Incident/Occurrence:
Name(s) or Identifying Information of Witness(es)or Persons who can substantiate your report:
Location of Witness(es)... where can they be contacted:
Name(s) or Identifying Information of Perpetrator(s)/Accomplice(s):
(If applicable) Description of Vehicle(s) or Other Transportation/Escape Device(s):
Please provide your detailed report...
Your email address or contact information (will not be published) in case we have questions...
Your name (will not be published): (Not Required)
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