ICE Raid/Activity Reporting

If you are witness to ICE (Immigration & Customs Enforcement) activity or someone you know was detained by Immigration in Illinois, please complete this form. You should expect a response within 1-2 business days. Por favor haga clic aquí para ver esta forma en Español.

Your Information

First Name

Last Name

Phone Number

Organization (if applicable)

Activity Reporting

What activity are you reporting?

If "Other", please explain:

If "Individual detained at home", please provide following information:

Full Legal Name of Detained Individual:

First Name

Last Name

Date of Birth:

Month

Day

Year

Birthday Month Calc

Birthday Day Calc

Birthday Year Calc

Date of Birth

Description of where it happened (Location, Streets or Work Place. Please do not include Home Addresses)

Street Address (Optional)

City (Optional)

State (Optional)

Zip Code (Optional)

What date did this occur?

Month

Day

Year

Activity Month Calc

Activity Day Calc

Activity Year Calc

Activity Date

Notes: