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2. Terrorism / Suspected Terrorist Activity
4. Do you know or suspect someone of belonging to a foreign terrorist group, such as Al-Qa’ida, Hamas, Hizb’allah or a domestic extremist group?
   If so, please provide the suspect(s) name, physical description, address, telephone number(s), and email.
6. Do you know of anyone watching activities, taking notes, using maps, binoculars, etc., near key facilities, such as military installations, seaport terminals, electric power stations, bridges, railroads, airport, City Hall, police or sheriff facilities?
8. Do you know of people taking still pictures or video, sometimes discreetly, of any of the key facilities described above from unusual locations, such as from under a bridge?
   If so, please explain.
10. Have you seen people loitering in non-public areas around key facilities described above?
    If so, please explain.
12. Are you aware of anyone who does not appear to belong in the neighborhood, business, or near a key facility described above?
    If so, please explain.
14. Are you aware of anyone attempting to gain information in person, by telephone, mail, email, or any other electronic medium regarding a key facility described above or its personnel?
    If so, please describe.
16. Are you aware of people timing the arrival or departure of public transportation, such as buses, trains, or aircraft?
    If so, please describe.
18. Are you aware of people who ask detailed questions about the schedules of public transportation in the area that seems to go beyond what is available on published schedules?
    If so, please describe.
20. Are you aware of anyone improperly attempting to acquire explosives, weapons, ammunition, dangerous chemicals, uniforms, badges, access or ID cards for key facilities described above?
    If so, please describe.
22. Do you know of suspicious vehicles abandoned or parked in unusual places or at unusual times?
    If so, please describe.
24. Weapons
26. Do you know of anyone who is illegally obtaining or stockpiling weapons, including automatic weapons, grenades, rockets, etc.?
    If so, please provide the suspect(s) name, physical description, address, telephone number(s), and email address(es).
28. Are you aware of any behavior that appears to be a dry run for terrorist activity, such as mapping out routes, playing out scenarios with other people, monitoring key facilities, timing traffic lights, etc.?
    If so, please describe.
30. What types of weapons are being obtained or stockpiled, and why?
    Please list the weapons, where they came from, and the location they are being stored.
32. What does the suspect(s) intend to do with the weapons?
34. What kind of groups does the suspect(s) belong to and/or who are the suspect(s) friends and associates?
36. Violent Civil Disturbances
38. Do you know of anyone who is planning or conducting violent acts, such as riots, mob attacks, shootings, etc. to disrupt civil order?
    If so, please provide the suspect(s) name, physical description, address, telephone number(s), and email address(es).
40. What is the target(s) of the violence, and when will the violence occur?
42. What groups are involved, and why?
44. Other Threats
46. If you want us to talk to you about your tip, please provide your contact information, including: Name, Address, Telephone number(s), and email address.
48. Please list any other information you think that may affect the safety and security of Newport News and the Hampton Roads area.
50. Have you made reports to other law agencies?

    1. Yes
    2. No
52. Date and/or time made to other law agency?
    Please write out the date and/or time in full (i.e. January 1, 2002; 5:35 p.m.)
54. What was the result of the complaints made to other law agencies?
56. Form Verification*
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58. 1. Receive an email copy of this form.
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