REPORT HUMAN TRAFFICKING INVESTIGATION
For law enforcement agencies only as required by IC-35-42-3.5-5
*
Reporting Agency Name
Error:
Please Enter Reporting Agency Name.
*
ORI Number
Error:
Please Enter ORI Number.
*
Agency Point of Contact (Enter First & Last Name)
Error:
Please Agency Point of Contact.
*
Agency Point of Contact Phone
Error:
Please Enter Agency Point of Contact Phone.
*
Agency Point of Contact Email
Error:
Please Enter Agency Point of Contact Email.
*
Agency Case Number
Error:
Please Enter Agency Case Number.
*
Date Case Opened
Error:
Please Enter Open Date.
*
Suspect Name (Enter First & Last Name)
Error:
Please Enter Suspect Name (Enter First & Last Name).
Suspect Aliases (First & Last Names)
SSN (If known, otherwise leave blank)
DOB (If known, otherwise leave blank)
*
Driver's License Number (Enter Drivers License State and Number. If not known, enter "Unknown")
Error:
Please Enter Driver's License Number (If not known, enter "Unknown")
*
FBI/Alien ID Number (If not known, enter "Unknown")
Error:
Please Enter FBI/Alien ID Number (If not known, enter "Unknown")
Suspect Address (Address, City, State & Zip)
*
Suspected criminal violation(s)
Error:
Please Enter Suspected criminal violation(s)
Are you working with any other LE agency(s) and if so, please list
Victim(s)
(Adding...)
(Deleting...)
#
Name
DOB
Address
1
2
3
If you have supporting documentation or materials related to this complaint that you would like to upload at this time, please check the box below. After you click the Submit button below you will be directed to another page where you can upload those files.