Journalist Sighting Report Form

Journalist Sighting Report Form
Use this form to report a sighting or interaction involving a journalist. Please provide as much detail as possible to assist with verification and follow-up.
Date and time of sighting
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Location of sighting (address or description)
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Type of interaction
Other
Journalist's name (if known)
Journalist's organization or affiliation (if known)
Event or context of sighting
Brief description of the sighting or interaction
Upload supporting file or photo (optional)
Cancelof
Your name
Preferred method for follow-up
Should be Empty: