Suspicious Activity Report
For NCRIC Private Sector Member Only

Important: If this is an emergency - Call 911.
For Non-Emergency Traffic Related Issues: Call the CHP 1-800-835-5247. This site is not for traffic reporting

Incident Information:

Incident Date:*
 
Incident Time:

Case or Incident Number: 

Name of Subject(s):  

Subject Identification:

Incident Location: *

City:*

County:*

Short Description


Threat Activity: *
Urgent Potential Threat To Life (Time-Sensitive / In an Emergency Dial 911)
Potential Threat to Life (After Hours Notification Not Required)
Acquisition of Expertise
Aviation Activity
       Laser Strike (Aircraft)
       Drone (UAS)
Bomb Threat
       Hoax Device
       Suspicious Package/Letter
Cyber Attack
Eliciting Information
Explosives/Chemicals 
       Injuries Related to Explosives/Chemicals
Expressed or Implied Threat
       Potential Hate Crime
Extortion
Fraud
        Fraudulent Documents
Human Trafficking
Lost or Stolen Equipment
Materials Acquisition/Storage
Misrepresentation
Officer Safety
Photography
Propaganda
Radicalization/Extremism
Recruiting
Regional Crime Trends
Sabotage/Tampering/Vandalism
Testing or Probing of Security
Theft/Loss/Diversion
       Burglary
Trespassing / Attempted Intrusion
Suspicious Incident
Suspicious Travel
Weapons Discovery
Other (describe below)


Impacted Entity *

 Airport/Aircraft
 Commercial Facility
 Private Citizen
 Emergency Services
 Entertainment Venue
 Faith-Based
 Government Facility
 Medical / Healthcare
 Military
 School
 Transportation
 Utilities
 Port-of-Entry
 Sector Specific (identify sector in the "Other" text box below)
 Other (describe below)


Summary and Attachments:

Brief summary: *

Number of attachments being submitted:
 *

Please attach police reports and photos: (combined limit 30 MB)







Submitter's Information:

Submitter's First Name:*

Submitter's Last Name:*

Your Agency / Organization Name:*

Agency / Organization Name Other:

Best Contact Number:  *

Email Address: *


Optional Contact Information;

Secondary Contact Name:

Alternate Contact Number:

Alternate Email Address:




Providing false or misleading information is a violation of Federal Law and may be subject to prosecution under Title 18 USC 1001.  All information is subject to review and verification. 
*Non-Authenticated Member