Detained Loved One Form
If your loved one 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
Email
Phone Number
Organization (if applicable)
Activity Reporting
What happened?
What activity are you reporting?
Please select...
Workplace raid
ICE street activity (Car, DHS officers walking around)
Individual detained at home
Other
If "Other", please explain:
Full Legal Name of Detained Individual:
First Name
Last Name
Date of Birth:
Month
Please select...
January
February
March
April
May
June
July
August
September
October
November
December
Day
Please select...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Please select...
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
Birthday Month Calc
Birthday Day Calc
Birthday Year Calc
Date of Birth
A#
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
Please select...
January
February
March
April
May
June
July
August
September
October
November
December
Day
Please select...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Please select...
2025
2024
Activity Month Calc
Activity Day Calc
Activity Year Calc
Activity Date
Notes: