Secret Witness Anonymous Reporting

Secret Witness

Type of incident or tip  
When did the incident occur  

Please list the location(s) where the incident occured  

Did you actually witness this incident  

Please describe the incident with as much detail as possible  

Suspects or Persons of Interest. Please list the names of everyone involved in the incident. If you do not know the suspects name, please provide a physical description of their appearance, clothing, vehicles involved, etc.  

Optional: If you are willing to allow NIC Security to contact you for follow up, please provide contact information. Otherwise, this form will be completely anonymous.

Optional Email Address