www.njohsp.gov

New Jersey

Suspicious Activity Reporting


This form may be used to report Suspicious Activity with a potential nexus to terrorism to the New Jersey Office of Homeland Security and Preparedness, Counterterrorism Watch Unit at the New Jersey Regional Operations Intelligence Center. If you do not wish to complete this form, you can call in an anonymous tip via the hotline at: 1-866-4-SAFE-NJ (866-472-3365) or email tips@njohsp.gov.


Incident Information

Date of Incident:
Time of Incident:
Incident Location:
Location or People Impacted:
Incident Type:
Incident Details:

This field is required. Please provide as much detail about the incident as possible. These details are critical to helping us understand the nature of the incident and impact it may have.


Subject Information

Name:
Alias:
Date of Birth / Approximate Age:
Telephone:
Address - Street:
City:
Zipcode:
State:
Subject Identifiers or Remarks:
Subject Race:
Subject Gender:

Vehicle Information

Vehicle Make:
Vehicle Model:
Vehicle Year:
Vehicle Color:
License Plate:
License Plate State:

Point of Contact

You may remain anonymous when submitting this report.

First Name:
Last Name:
Organization:
Email Address:
Telephone:
Zipcode: