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Incident Notes

Incident Type:	Incident City:	State:

Incident Description: (Including... Who, What, When, Where and How Do You Know)

Victim's Information (Name, Age, Address):

Incident Notes

Incident Type:

What is your relationship with the school?

Student/Grade - Parent Faculty Staff Administrator

Incident Description: (Including... Who, What, When, Where and How Do You Know)

Victim's Information (Name, Age, Grade)

Suspect Information

Suspect's Name:		Alias(es) or Nickname:

Race:	Gender:	Height:	Weight:

Age (or DOB):	Hair Color:	Hair Style:	Eyes:

Suspect's Address, City, State, Zip/Postal Code, Country:

Suspect's Cell Phone and/or Home Phone:

Scars, Marks, Tattoos:

Suspect's Clothing:

Weapons:

Gang Affiliation:

Social Media Identity (ex: a link to a Facebook page and/or a Twitter handle):

Where did you last see the suspect?

Other suspect notes:

Vehicle Information

Make:		Model:

Color:	Year:	License:	State:

Image Uploads

PNG, GIF or JPG files can be included with this tip. (Less than 2MB)

Privacy and Security

You acknowledge and confirm that the information you are providing is not urgent or requiring prompt or immediate attention, and you understand that you should call 911 or contact the appropriate authorities by phone if this is time sensitive information.
				
1. Terms of Service.  Your use of Nixle’s service to provide an anonymous crime tip is governed by the Nixle Terms of Service (http://www.nixle.com/termsofservice.html) in addition to the terms and conditions contained hereon.
				
2. False Reports:  Making a false report to law enforcement or other organizations which deal with emergencies involving danger to life or property is a serious offense and may be punishable by law.
				
3. Privacy:  Information submitted to Nixle’s service will be governed by our Privacy Policy (http://www.nixle.com/privacypolicy.html).  Be sure to review our Privacy Policy in order to understand the uses of information you may submit.
				
4. Tip Submission and Disposition:  Although we utilize physical, electronic and administrative safeguards, including industry standard encryption, due to the nature of the Internet and SMS delivery networks, Nixle does not guarantee 100% security or timely delivery or reception of the submitted information.  Neither Nixle nor any third party makes any guarantee as to (or assumes any responsibility for) if, how or when any submitted information may be reviewed or acted upon by law enforcement or public safety official.  Because tips you submit may not be monitored by such parties on a regular basis, you should not use this Service to report events presenting an immediate danger to life or property or which otherwise constitute an emergency as such reports may not receive an immediate response.
				
5. Improper Use of Nixle’s Anonymous Tip Service:  This Anonymous Tip Service is provided for the purpose of submitting information about a crime or highly suspicious activity.  Any misuse or abuse of this service is strictly prohibited.  Children must be 16 years or older or have parents’ permission to use this service.

To protect your anonymity, please make sure that your personal information is not included anywhere in this form

By submitting this tip, you acknowledge and agree to Nixle's Tipping Terms of Service

Submit an Anonymous Tip to City of Adak, Alaska, Adak, AK

Incident Notes

Incident Notes

Suspect Information

Vehicle Information

Image Uploads

Privacy and Security

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