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WISCONSIN STATEWIDE INTELLIGENCE CENTER (WSIC)
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Suspicious Activity Reporting Form
Election Threat Reporting Form
Cyber Incident Reporting Form
Election Threat Reporting
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Indicates required field
Important: If this is an emergency - Call 911
* Submitter's First Name
please enter Submitter's First Name
* Submitter's Last Name
please enter Submitter's Last Name
* Are you an official election worker?
Yes
No
Title (If applicable)
Please enter Title (If applicable)
* Best Contact Number (###) ###-####
* Email Address
please enter Email Address
Incident Date
Incident Time
* Behavior Observed Via (In-Person, Phone, Email, Social Media, Other)
Please enter Behavior Observed Via (In-Person, Phone, Email, Social Media, Other)
* Brief summary
Please enter Brief summary
Name of Subject(s) (If available)
Please enter Name of Subject(s) (If available)
Subject Identification (DOB; Drivers License #; Phone Numbers)
Please enter Subject Identification (DOB; Drivers License #; Phone Numbers)
* Polling or Incident Location - Street Address or Cross Streets
please enter Polling or Incident Location - Street Address or Cross Streets
* City
please enter city
* State
- Select -
Alabama
Alaska
Arizona
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California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
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Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Optional Information
Optional Information
Secondary Contact Name (if applicable)
please enter Secondary Contact Name (if applicable)
Alternate Contact Number (###) ###-#### (if applicable)
Alternate Email Address (if applicable)
please enter Alternate Email Address (if applicable)
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