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

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HSI Tip Form
OMB Control Number: 1653-0049
Expiration Date: 07/31/2023

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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

I. Your information
First name:
Last name:
Email:

[email protected]

Phone number:

Where are you reporting from? *
Inside the U.S.
Outside of the U.S.

II. Suspected Violation
Please check the violation that best applies *
Benefit/Marriage Fraud
Bulk Cash Smuggling/Financial Crimes
Child Exploitation/Pornography
Cyber Crimes
Employment/Exploitation of Unlawful Workers
F/M Student Violations, Including OPT
Fugitive Criminal Alien
Gang Related
Human Rights Violators
Human Smuggling
Human Trafficking (Forced Labor/Slavery)
Immigration Telefraud
Intellectual Property Rights
Narcotics Smuggling
Terrorism Related
Trade Exportation Violation
Trade Importation Violation
Weapons Smuggling
Other

Location of Criminal Activity (if known)
(line 1):
(line 2):
City:
State: *
Zip code:

III. Violator Information
The complaint involves a *

Business/Company
Individual
Both
Have you previously submitted this information to any law enforcement or government agency?
*
Yes
No
Please provide a summary of the criminal activity (limit 1,000 characters). *
1000 characters remaining

Did you have additional businesses/individuals to report on? *
Yes
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-recordsnotices-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).
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Last Reviewed/Updated: 10/09/2019


File Typeapplication/pdf
AuthorElmore, Scott A
File Modified2023-07-24
File Created2023-07-24

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