Secret Witness Anonymous Reporting

Secret Witness

Type of incident or tip
When did the incident occur
Please leave blank!

Please list the location(s) where the incident occurred  

Did you actually witness this incident

  Yes
No

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