National Network of Fusion CentersSuspicious Activity ReportFor Private Sector / Corporate Partners Use
Important: If this is an emergency - Call 911.
Submitter's First Name:*Submitter's Last Name:*Company / Organization Name:*Best Contact Number: (###) ###-#### *Email Address: * Incident Date *: Time: (e.g. 10 pm) Description of Activity (Help): * Breach/Attempted Intrusion Misrepresentation Theft/Loss/Diversion Sabotage/Tampering/ Vandalism Cyber Attack Expressed or Implied Threat Aviation Activity Eliciting Information Testing or Probing of Security Recruiting Photography Observation/Surveillance Materials Acquisition/Storage Acquisition of Expertise Weapons Discovery Sector-Specific Incident Officer Safety Human TraffickingOther (describe below)Prior Tip Tracking Number(s) (if applicable)
Name of Subject(s): (If available) Brief summary: *
Incident Location - Street Address or Cross Streets:
State:*
Please attach reports and/or photos: Optional Information
Secondary Contact Name: (if applicable)Alternate Contact Number: (###) ###-#### (if applicable)Alternate Email Address: (if applicable)
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.