BIT Report Form

Background Information

Complete the background information below

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Your full name:

Your position/title:

Your phone number:

Your email address:

Email address must be of a valid format.

Your physical address:

Nature of Report(Required):

This field is required.

Urgency of this report(Required):

This field is required.

Date of incident(Required):

This field is required.

Time of incident:

Location of incident(Required):

This field is required.

Specific location:

Involved Parties

Please list the individuals involved (persons of concern, victim, and witnesses, as applicable), including as many of the listed fields as you can provide.

Name of Individual

Select Role

ID Number

DOB (YYYY-MM-DD)

Email address

Description/Narrative

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Background Information

Involved Parties

Description/Narrative

Supporting Documentation

Submission