Suspicious Activity/Threat Referral

TAM Referral Form

If someone is at imminent risk of harming themselves or others, or if you perceive the situation to be an emergency, please contact 911 NOW.

Other crisis resources available for someone in distress include:

Mobile Crisis: 315-405-0696
National Crisis Text Line: 741741
National Domestic Violence Hotline: 1-800-799-7233
National Suicide & Crisis Lifeline: 988

Thank you for reaching out to the Threat Assessment Management (TAM) Team to assist you in assessing your identified safety concerns.

In preparation for our collaborative meeting, we ask that you review the questions below and be prepared to provide as much information as possible to assist us in assessing current and future risk. If you would prefer to share this information over the phone, please call the TAM Tip Line at (315) 376-5361

Reporter Information

Location

Date of Incident

Time of Incident

Role

First Name

Last Name

Phone/Mobile

Person of Concern

First Name

Last Name

Relationship to Company

DOB

Age Range

Gender

Photo

Choose File

Email Address

Phone/Mobile

Residential Address

Address Line 1

City

State

Zip Code

Social Media

Targeted Individual Name & Contact Information

First Name

Last Name

Relationship to Reporting Person

DOB

Age Range

Gender

Is this person okay with being contacted?

Yes

Phone/Mobile

Email Address

Residential Address

Address Line 1

City

State

Zip Code

Witness(es) Name & Contact Information

Name

Relationship to Reporting Person

Is this Person okay with being contacted?

Incident Description

Describe what occurred

Other information you think the TAM team should know

Supporting Documents

File Upload

Choose File

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Suspicious Activity/Threat Referral

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Suspicious Activity/Threat Referral