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2. If you are using this form to report a crime or criminal activity and you do not wish to provide your name or personal information, just put your remarks into the "Comments" section and leave the rest blank. If you do wish to leave your personal information, it will help us to solve the crime in a more timely fashion. If your comments are suggestions regarding operational issues concerning the Department, leaving your name and email address or phone number will allow us to report back to you of the results. The Peoria County Sheriff's Office thanks you for your assistance.
4. Comments / Questions*
6. Name
8. Email
9. Phone
11. Address 1
12. Address 2
14. City
15. State
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16. Zip Code
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18. 1. Receive an email copy of this form.
19. Email address

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