Form Homeland Security Homeland Security Homeland Security Investigations Tip Form

Suspicious/Criminal Activity Tip Reporting

Tipline Form

Suspicious/Criminal Activity Tip Reporting

OMB: 1653-0049

Document [docx]
Download: docx | pdf

NOTICE

Click here for the latest ICE guidance on COVID-19

HSI Tip Form

SHARE

OMB Control Number: 1653-0049
Expiration Date: 12/31/2020

U.S. Immigration and Customs Enforcement (ICE) investigates more than 400 violations of criminal law, ranging from child exploitation to transnational gangs. Use this form to report suspected criminal activity.

Be as specific and as detailed as possible. You are encouraged to provide any additional identifying details such as places of birth, countries of citizenship, and any numeric identifiers in the below narrative text box. The detailed information you provide will assist investigators as they look into reported violations.

We do not provide status updates for tip information provided. If you provide information, you can be assured that it will be promptly forwarded to the responsible office for follow up action as deemed appropriate.

Do NOT send the same information more than once, and do NOT file a duplicate report by calling the HSI Tip Line.

Although there is absolutely no guarantee that tip information provided will result in monetary payments, ICE has the discretion and statutory authorization to pay for information and/or evidence that is used in support of criminal investigations.

Anonymous tips may be reported on this form and may also be reported to ICE via the toll-free HSI Tip Line, (866) 347-2423
TTY for hearing impaired only: || TTY para personas con discapacidad auditiva solamente: (802) 872-6196

If this is an emergency, call 911.

* = Required Fields

Top of Form

I. Your information

First name:Shape1

Last name:Shape2

Email:

[email protected]

Phone number:Shape3

Where are you reporting from? *

Shape4  Inside the U.S.

Shape5  Outside of the U.S.

II. Suspected Violation

Please check the violation that best applies *

Shape6  Benefit/Marriage Fraud

Shape7  Bulk Cash Smuggling/Financial Crimes

Shape8  Child Exploitation/Pornography

Shape9  Cyber Crimes

Shape10  Employment/Exploitation of Unlawful Workers

Shape11  F/M Student Violations, Including OPT

Shape12  Fugitive Criminal Alien

Shape13  Gang Related

Shape14  Human Rights Violators

Shape15  Human Smuggling

Shape16  Human Trafficking (Forced Labor/Slavery)

Shape17  Immigration Telefraud

Shape18  Intellectual Property Rights

Shape19  Narcotics Smuggling

Shape20  Terrorism Related

Shape21  Trade Exportation Violation

Shape22  Trade Importation Violation

Shape23  Weapons Smuggling

Shape24  Other

Location of Criminal Activity (if known)

(line 1):Shape25

(line 2):Shape26

City:Shape27

State: *Shape28

Zip code:Shape29

III. Violator Information

The complaint involves a *

Shape30  Business/Company

Shape31  Individual

Shape32  Both

Have you previously submitted this information to any law enforcement or government agency? *

Shape33  Yes

Shape34  No

Please provide a summary of the criminal activity (limit 1,000 characters). *

1000 characters remaining

Shape35

Did you have additional businesses/individuals to report on? *

Shape36  Yes

Shape37  No

PRIVACY NOTICE

Authority: The collection of information that you provide in this web form is authorized by the following: 6 U.S.C. § 202; 8 U.S.C. § 1103; 8 U.S.C. § 1357, 8 U.S.C. § 1360; Title 18, United States Code; 19 U.S.C. § 1589a; 31 CFR Chapter X, 5 U.S.C. § 552a; 5 U.S.C. § 301; and 44 U.S.C. § 3101. Please also see the privacy policies for ICE's public website, available at www.ice.gov/site-policies.

Purpose: ICE may use the information you provide to initiate and/or support a law enforcement investigation. ICE may use your personal information, if provided, to contact you for additional details about your tip, or to arrange monetary payment, if applicable.

Agency Disclosure of Information: The information you provide may be shared internally within DHS for any appropriate official purpose. The information you provide may also be shared with federal, state, local, tribal, territorial, and foreign law enforcement agencies in order to refer reports of suspicious activity, tips, potential violations of law and other relevant information to those agencies with appropriate jurisdiction, authorities, and need-to-know concerning the matter(s) you report, or as otherwise required by law.

If you are a United States Citizen, lawful permanent resident, or are an individual whose records are covered by the Judicial Redress Act of 2015 (5 U.S.C. § 552a note), your information may be disclosed in accordance with the Privacy Act of 1974, 5 U.S.C. § 552a(b), including pursuant to the routine uses published in the DHS/ICE-016 FALCON Search and Analysis System of Records Notice (SORN), which can be viewed at https://www.dhs.gov/system-records-notices-sorns.

Disclosure: Providing your name or other personal information on this web form is voluntary. If you do not provide the requested information, ICE may not be able to take action on your tip. Anonymous tips may be reported to ICE via the toll-free HSI Tip Line, (866) 347-2423.

Public Reporting Burden: U.S. Immigration and Customs Enforcement is collecting this information as a part of its agency mission under the Department of Homeland Security. The estimated average time to review the instructions, search existing data sources, gather and maintain the data needed and completing and reviewing this collection of information is 10 minutes (0.166 hours) per response. An agency may not conduct or sponsor, and a person is not required to respond to, an information collection unless it displays a currently valid OMB Control Number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: Office of the Chief Information Officer, Forms Management Office, 801 I Street NW,  Washington, DC 20536-5800, ATTN: PRA Officer. Do not return the completed form to this address.

WARNING REGARDING KNOWINGLY PROVIDING FALSE INFORMATION

The information I've provided on this form is correct to the best of my knowledge. I understand that providing false information could subject me to fine, imprisonment, or both. (Title 18, U.S.C. § 1001).

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Math question *8 plus 7 = Shape38

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

Shape39 Shape40

Bottom of Form

Last Reviewed/Updated: 10/09/2019

Related Information



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorElmore, Scott A
File Modified0000-00-00
File Created2021-01-14

© 2024 OMB.report | Privacy Policy