CONFIDENTIAL INFORMANT AGREEMENT (PFN17)Confidential Informant Agreement • May 7th, 2020
Name (Last, First Middle) Confidential Informant Number Telephone Number Email Address City State ZIP Code Alias or Other Name Date of Birth Place of Birth (City and State) Race GenderM F Height Weight Eye Color Hair Color Identifying Characteristics (scars, marks, physical defects, etc.) Occupation Drug UserYes No If Yes, What Drug(s) Social Security Number FBI Number SID Number Other
