Illegal Gambling Report Form
Use this form to report suspected illegal gambling activity. Please provide as much detail as possible to assist with investigation. All information is handled confidentially.
Reporter Name
Reporter Contact (Email or Phone)
Preferred Contact Method
*
Email
Phone
No Contact
Incident Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Incident Time
*
Hour Minutes
AM
PM
AM/PM Option
Incident Location or Address
*
Type of Suspected Gambling Activity
*
In-person venue
Online website/app
Social media
Private residence
Other
Description of What Was Observed
*
People, Business Names, or Identifying Details
Evidence Provided (Photos, Videos, Screenshots, or Documents)
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