Section I - Trafficking Report Details



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Situation involves victims who are: (please check all that apply)

Comments Section



Please use this space to provide specific details about the situation you are reporting. Include the location; the date and time of the incident; and the gender, age, number, and nationality of the potential victim(s) involved. If the age of the potential victim is unknown, please indicate whether the individual appeared to be 18 years of age or older. If the nationality is unknown, please indicate whether you believe the potential victims are U.S. citizens or foreign nationals.

Section II - Reporter Information



Please provide your name, email address, and/or phone number. A Hotline Call Specialist may contact you to ask additional questions. If you prefer not to be contacted, please check Prefer to Remain Anonymous and leave First Name, Last Name, Email Address, and Phone Number fields blank. Check the box next to Comfortable being contacted by law enforcement only if you consent to have your contact information shared with law enforcement, where appropriate.

Please Complete - For Statistical Purposes Only: