Illegal Employment Report Form
Report suspected illegal employment activities. Your report will be reviewed confidentially. Please provide as much detail as possible.
Your Name (optional)
First Name
Last Name
Your Email (optional, for follow-up)
example@example.com
Suspected Business or Employer Name
*
Location of Suspected Illegal Employment (address or description)
*
Type of Work Observed
*
Please Select
Construction
Hospitality/Food Service
Agriculture
Domestic Work
Retail
Manufacturing
Other
Date of Incident or Ongoing Activity
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How did you become aware of this situation?
*
Please Select
Direct Observation
Heard from Someone
Media/News
Other
Number of Individuals Involved (estimate)
Please describe the suspected illegal employment activity
*
Would you be willing to be contacted for further information?
*
Yes
No
Upload any supporting evidence (photos, documents, etc.)
Upload a File
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