Computer Crime Unit

INTERNET CRIMES AGAINST CHILDREN REPORTING FORM
IF THIS IS AN EMERGENCY CALL 911 !

Information entered into this form will be forwarded to the Erie County Sheriff's Office Computer Crime Unit.
How was this site located:
Reporting Person (This Will Remain Confidential)
Approx. Date and Time of Incident - REQUIRED
MONTH
 / DAY
 / YEAR
   HOUR
 : MIN
Type of Incident - REQUIRED
Location of Incident (City & State where incident occurred)
Reporting Person's Name
Address
City
 State * If USA

* If Not USA
 Postal Code
Country
Country or Area Code/Telephone #
 Ext.
Time available for callback
Relationship to child
Email Address
If reporting Child Pornography or Online Enticement of Children for Sexual Acts, please fill in the following information
Internet Information
Website/HTTP URL
Suspect Email Address
Internet Service Provider of Reporting Person
(i.e. AOL, Compuserve, UUNET, etc.)
Chatroom: name or location
Internet Location (i.e. Newsgroups, FTP, etc.)
Usenet Newsgroup Header
If applicable, please fill in the following information
Child Victim
Child's Name
 Approx. Age
Address
City
 State * If USA

* If Not USA
 Postal Code
Country
* Other Child Victims?
If applicable, please fill in the following information
Suspect
Suspect's Name
Date Of Birth (FORMAT: mm/dd/yyyy)
Month
 / Day
 / Year
Age
  
Address
City
 State * If USA

* If Not USA
 Postal Code
Country
* Other Suspect(s)?
Additional Information
Please provide additional information or description (be specific)
*other victims or suspects should be listed in this section
                                 

Back to Computer Crime Unit

Erie County Sheriff's Office
10 Delaware Avenue, Buffalo, NY 14202

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