Departmentof Justice Intake Form

Department of Justice for the Cheyenne andArapaho Tribes

Departmentof Justice Intake Form
The purpose of this intake form is to provide necessary information to the prosecuting attorney. Every report we receive is important, however, not every submission results in an investigation. Due to the high volume of complaints we receive, it is not possible to contact every complainant. However, Complaint tips are incredibly valuable, and we appreciate your efforts to help us stamp out fraud, waste, and abuse.
Complainant Information
Name

First NameMiddle NameLast Name
Email
example@example.com
Cell Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Home Phone

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth

MonthDayYear
Date
Please describe the alleged criminal incident. Provide name of alleged defendant; where the incident occurred; and date and time alleged incident occurred.
Case information
Have you reported the incident to Law Enforcement?

YesNo
Should be Empty:

Department of Justice for the Cheyenne andArapaho Tribes