Enter the exact location the crime occurred
(be as specific as possible giving room number, etc.):

Enter the date the crime occurred: (format: month/day/year)

Enter the time the crime occurred:   (AM/PM)

Enter why you think a crime is being committed:
(describe the incident providing as many details as possible) :

Enter the suspect(s) name (if known):

If unknown, describe the suspect(s):

Your Contact Information:

Name:

E-mail:

Telephone:

Address:

City:

State: Zip:

By sending this to the Upper Iowa Security I affirm under penalty of perjury that the facts contained herein are true and correct.  Also, I understand that making a false written statement is punishable as a class A misdemeanor. 

Thank you for getting involved.  You can make a difference.