Your information

Your name(Required)
Your email(Required)
Who are you submitting the form for?(Required)

Incident details

Were you physically present during the incident?(Required)
Date(Required)
Estimated time
:
Please describe your concerns and provide a summary of the incident, including the federal agent or agency involved. Please note whether the incident involved an arrest, a child or pregnant person, or use of force, firearms, or chemical agents (like pepper spray) by a federal agent.

Photo submission

You can share up to five photographs of the incident. Each photo must be smaller than 50 MB. If you upload more than one photo in the same upload field, the combined file size must be smaller than 50 MB. To share video files, use the “Video submission” section below.
Would you like to share photos of the incident?
If you upload more than one photo in this upload field, the combined file size must be smaller than 50 MB.
Drop files here or
Max. file size: 50 MB, Max. files: 5.
    Do you need to upload more photos?
    If you upload more than one photo in this upload field, the combined file size must be smaller than 50 MB.
    Drop files here or
    Max. file size: 50 MB, Max. files: 5.

      Video submission

      You can share up to five videos of the incident. Each video must be smaller than 50 MB. To share larger video files, please upload the video to a third-party storage or video site, such as Google Drive, Dropbox, YouTube, Vimeo, Twitter, Instagram, or Facebook, and provide the direct link to the content.
      Would you like to share videos of the incident?
      Please enter a number from 0 to 5.
      A typical video taken with a smartphone is about 50 MB for a 1-2 minute video.
      Drop files here or
      Max. file size: 50 MB, Max. files: 1.
        A typical video taken with a smartphone is about 50 MB for a 1-2 minute video.
        Drop files here or
        Max. file size: 50 MB, Max. files: 1.
          A typical video taken with a smartphone is about 50 MB for a 1-2 minute video.
          Drop files here or
          Max. file size: 50 MB, Max. files: 1.
            A typical video taken with a smartphone is about 50 MB for a 1-2 minute video.
            Drop files here or
            Max. file size: 50 MB, Max. files: 1.
              A typical video taken with a smartphone is about 50 MB for a 1-2 minute video.
              Drop files here or
              Max. file size: 50 MB, Max. files: 1.
                Share links to videos hosted on third-party storage or video sites
                To add an additional row, click the '+' sign.

                Referrals

                Please remember that the Governor’s Office and Attorney General’s Office are not authorized to provide legal advice or representation to individuals. To receive referrals to legal or general immigration resources, please select from the options below and we will send you more information.
                Select all that apply

                Consent

                Consent(Required)
                The Governor’s Office and/or Attorney General’s Office may use any information, photographs, or videos I provided in a public document, including in a legal proceeding or public report or statement. I also understand that the Governor’s Office and/or Attorney General’s Office may share this information with third parties for other lawful reasons, including in response to a public records request, and may be required to release this information pursuant to a court order or other lawful process.

                I further understand that any documents, photographs, and/or videos that I provide through this portal will not be returned.

                The Governor’s Office and/or Attorney General’s Office may reach out to me if I provided my contact information. (Please note we generally will not disclose your name or contact information in response to a public records request.)

                My report is true and accurate to the best of my knowledge and any documents attached are true and accurate copies of the originals.