Instructions
Please note that all fields marked with an asterisk (*) are required to provide relevant and accurate reporting. These fields are not confidential in that they will be used for aggregate reporting purposes. For instance, it will be reported the number of males and females who have died by suicide, the number of states with the highest suicide rates, etc.
Items without asterisks are not required. If provided, this information is strictly confidential and will not be disclosed without prior consent.
If you wish to report the name of the officer you may, this will help with the vetting process but will be kept confidential. At no time will this piece of information be shared without your permission. This is not required for reporting purposes.
Note: Contact information for the person reporting is requested so that we may ensure the information is accurate and reliable. We will not contact you unless absolutely necessary.
