Tip Report Submission Form

This form is to report information to Polk County, Wisconsin.

Please use this form to report any suspicious activities or crimes that you may have information about. 

DO NOT USE THIS FORM TO REPORT ONGOING EVENTS OR INCIDENTS THAT REQUIRE AN IMMEDIATE RESPONSE!  The email account that receives this tip is generally only monitored M-F, 8:30 - 4:30 p.m. and therefore, the information may not be immediately received by an employee.  It may not be received for several days if it is given over a weekend or holiday.

Personal information is optional, but it is requested in the event that we need to clarify the information you provide.  You may ask to remain anonymous.  If you do, leave the personal information blank and provide a detailed explanation of the information you wish to report.  The information you provide will be the only information we have to follow-up with.  If it doesn't include enough detail, we may not be able to take any action.

Name:
Address:
City:
State:
Zip Code:
Phone:
E-mail Address:
Do you wish to remain anonymous?:
Yes
No
Activity/Tip to Report:
Enter this number into the "Security Code" field:

*Security Code: