Safety/Security Concern
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Safety/Security Concern Form
IF THIS IS AN EMERGENCY CALL 911, if you can, TEXT if you can't!
Date it happened
Must contain a date in MM/DD/YYYY format
Time of the above date it happened
Recurring event
Yes
No
Can you describe the person(s)?
Yes
No
Race
Asian
Black
American Indian
Unknown
White
Gender
Female
Male
Unknown - For Unidentified Only
Height (Ft/Inch)
Age
Build
Heavy
Medium
Slender
Slim
Eye Color
Black
Blue
Brown
Green
Gray
Hazel
Maroon
Multicolored
Pink
Unknown
Hair Color
Black
Blond or Strawberry
Blue
Brown
Green
Gray or Partially Gray
Orange
Purple
Pink
Red or Auburn
Sandy
White
Unknown or Completely Bald
Additional information about this person:
Persons Name
First Name
Nickname
Last Name
Where did it occur (Address)?
Threat Category
*
required
School Threat
Threat to Public Safety
National Security
General Crime/Information
What did you see?
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required
Can you describe the vehicles(s) involved?
Yes
No
Transport type
Vehicle
Aircraft
Vessel
Make & Model
Year
Registration state
Color
License plate number
Additional information about this vehicle
I would like to provide contact information about myself (OPTIONAL)
Yes
No
Name
First Name
Last Name
Address (Street, City, State & Zip)
Phone number
Email Address
Submit