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IEMA

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Your Name:

Your Phone Number: *

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Date of Incident: *

Time of Incident:

Type of Violation:

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Description of Incident: * Description of Incident is required Description of Incident is required

SUSPECT, VEHICLE and FILE/PICTURE UPLOAD information (Not required)

SUSPECT
First Name:	Last Name:	Approximate Age:
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Address:	City:	State:

Race:	Gender:	Hair:

Approximate Height:	Build:

Suspect Description (Clothing, hat, accessories, weapons, etc.):


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Number of Suspects Entered: 0

VEHICLE

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Automobile

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Make:

Model:

Approximate Year:

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Color:

License Plate/Registration

License State:

Vehicle Description:

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Number of Vehicles Entered: 0

FILE/PICTURE UPLOAD

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Number of Files Uploaded: 0

Click SUBMIT TIP INFORMATION below to send TIP report to IDNR staff

By submitting this report, you certify that all information provided is true and accurate to the best of your knowledge. Intentionally filing a false report is a Class 4 Felony, punishable under 720 ILCS 5/26-1(a)(4).