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T.I.P. Email & Violation Response Form

Date:

Time:

County of violation:

Township:

Complainant:
Anonymous
Not Confidential
Confidential

Name:

Telephone:

Address:

Email Address:

Reward Requested:
yes
no

If the complainant has requested his/her identity remain confidential, the confidential identity is not privileged beyond the investigating officer.

Violation Description:

Violation Category:
Deer
Furbearer
upland game
waterfowl
Fish
Birds of Prey
License
Other

Suspects:
known
unknown

Name:

Race:

Sex:

Ht.:

Wt.:

Address:

Place of Employment:

Other Information: