Report of Non-SMC Law Enforcement Contact

Please don't fill out this input box.

Your Name*

Your Email Address*

Date of Contact*

Time of Contact*

Location of Contact*

Any information you can provide about the officer, such as name, any credentials presented, contact information if the officer left a card*

What did the officer request?*

Did the officer present you with a document?*

Yes

No

If Yes, indicate if known:*

Warrant

Subpoena

Court Order

Unknown

Your response to the officer's request:*

Any further action by the officer:*

Upload a copy of any document left by the officer

Any other information you believe might be relevant:

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