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Official website of the Department of Homeland Security

Office of Inspector General

Some fields have been left blank. You must fill out all fields marked with a red asterisk before submitting.

Complainant:

DHS Employee?

Your Filing Category

Your Employer

Your Filing Category

Your Email Address

Disclose my identity to DHS OIG?

Alleged Offender(s):

Person, Agency or Business?

Unknown or Known Identity?

2: Person, Agency, or Business?

2: Unknown or Known Identity?

3: Person, Agency, or Business?

3: Unknown or Known Identity?

4: Person, Agency, or Business?

4: Unknown or Known Identity?

5: Person, Agency, or Business?

5: Unknown or Known Identity?

6: Person, Agency, or Business?

6: Unknown or Known Identity?

7: Person, Agency, or Business?

7: Unknown or Known Identity?

8: Person, Agency, or Business?

8: Unknown or Known Identity?

9: Person, Agency, or Business?

9: Unknown or Known Identity?

10: Person, Agency, or Business?

10: Unknown or Known Identity?

Where:

Incident Locations

What:

Allegation Category

Allegation

How:

Summary of Incident

Submit:

Name of complainant has not been entered; if complainant wishes to remain anonymous you must check the acknowledgment box affirming your understanding the OIG will not be able to send you a Complaint Number Notification email alert message

Name of complainant has been entered and complainant has selected option to remain anonymous. To complete form submission; either remove name in order to submit anonymously, or remove acknowledgement of anonymous filing by un-checking this option in the submit portion of this form.

You must agree to all terms and conditions cited

Some Fields are not in the proper format.

Complainant:

Primary Phone - Must have 10 Digits if in United States

Secondary Phone - Must have 10 Digits if in United States

Email Address

ZIP Code

Alleged Offender(s):

Primary Phone - Must have 10 Digits if in United States

Secondary Phone - Must have 10 Digits if in United States

Email Address

ZIP Code

2: Primary Phone - Must have 10 Digits if in United States

2: Secondary Phone - Must have 10 Digits if in United States

2: Email Address

2: ZIP Code

3: Primary Phone - Must have 10 Digits if in United States

3: Secondary Phone - Must have 10 Digits if in United States

3: Email Address

3: ZIP Code

4: Primary Phone - Must have 10 Digits if in United States

4: Secondary Phone - Must have 10 Digits if in United States

4: Email Address

4: ZIP Code

5: Primary Phone - Must have 10 Digits if in United States

5: Secondary Phone - Must have 10 Digits if in United States

5: Email Address

5: ZIP Code

6: Primary Phone - Must have 10 Digits if in United States

6: Secondary Phone - Must have 10 Digits if in United States

6: Email Address

6: ZIP Code

7: Primary Phone - Must have 10 Digits if in United States

7: Secondary Phone - Must have 10 Digits if in United States

7: Email Address

7: ZIP Code

8: Primary Phone - Must have 10 Digits if in United States

8: Secondary Phone - Must have 10 Digits if in United States

8: Email Address

8: ZIP Code

9: Primary Phone - Must have 10 Digits if in United States

9: Secondary Phone - Must have 10 Digits if in United States

9: Email Address

9: ZIP Code

10: Primary Phone - Must have 10 Digits if in United States

10: Secondary Phone - Must have 10 Digits if in United States

10: Email Address

10: ZIP Code

When:

Format: mm/dd/yyyy

Cannot be beyond current date

Cannot be before DHS was established

Please Select One*

Option 1: I wish to remain anonymous. I understand that my selection precludes me from receiving a Complaint Number, and may hinder DHS OIG’s ability to thoroughly review and/or resolve the allegations in my complaint. I also understand that the information I provide anonymously may be referred to another agency if DHS OIG determines that action by another agency is warranted under the circumstances.

Option 2: I wish to disclose my identity to DHS OIG, but request that DHS OIG keep my identity confidential with respect to individuals outside DHS OIG. I understand that my selection may hinder DHS OIG’s ability to thoroughly review and/or resolve the allegations in my complaint. I also understand that, despite my request for confidentiality, it may be necessary for DHS OIG to disclose my identity to individuals outside DHS OIG if DHS OIG deems such disclosure (1) necessary during the course of DHS OIG’s investigation of the allegations in the complaint, or (2) otherwise required by law.

Option 3: I wish to disclose my identity to DHS OIG and authorize DHS OIG to further disclose my identity to individuals and/or entities outside DHS OIG on a need-to-know basis.

Fields marked with an asterisk (*) are MANDATORY and required to file a complaint online.

INDIVIDUALS INVOLVED

Person Submitting Complaint (Complainant):

First Name:

MI:

Last Name:

Address Type:

Work
Home

Address:

City:

ZIP:

State/Territory:

Country/Region:

Primary Phone:

Secondary Phone:

Email:

Is the Complainant a

DHS Employee?

Yes
No

Select employee affiliation to view remaining fields in this section.

Alleged Offender(s):

Select an option most appropriate for the Offender:

Person
DHS Agency or Bureau
Corporation / Business

Select offender type to view additional fields in this section.

DHS Agency or Bureau:

Corporation or Business Name:

The Person is:

Fully Identified
Partially Identified
Unidentified

Gender:

Male
Female

First Name:

MI:

Last Name:

Alias:

Nickname:

Alleged Offender's Employment Category:

Alleged Offender's Employer:

Miscellaneous Identifiers (e.g. job title, tattoos, etc.)

Height:

ft/in

Weight:

lbs

Hair:

Eyes:

Race:

Address Type:

Work
Home

Address:

City:

ZIP:

State / Territory:

Country / Region:

Primary Phone:

Secondary Phone:

Email:

WHEN? (if Known)

Date Incident Occurred: (mm/dd/yyyy)

Alleged Offender was:

On Duty / Duty Related
Off Duty

WHERE?

You have reached the maximum number of characters, your text has been shortened to fit this form.

Incident Location(s):

(Limit to 500 characters)

WHAT?

Affected DHS Agency or Bureau (If Known)

Identify the category or categories of allegation(s) the alleged offender(s) have engaged in

Allegation Category:

Allegation:

Allegation Detail:

HOW?

Summary of Allegation (to include: how you know this incident occurred, supporting evidence you may have, names and contact information of other witnesses / victims, etc.) (limit to 4,000 characters)

You have reached the maximum number of characters, your text has been shortened to fit this form.

Submitting a complaint via this form does not guarantee an investigation of the allegations by DHS OIG. Rather, DHS OIG accepts or refers complaint allegations based, in part, upon agency responsibilities. If we determine that your allegation should be investigated by another agency, we may refer it to that agency for any action the agency deems necessary unless you have opted to file this complaint confidentially (Option 2).

By submitting this form, you certify that all of the statements made in this complaint (including Continuation pages and addenda) are true, complete, and correct to the best of your knowledge. You are further certifying that you understand that a deliberately false statement, or deliberate concealment of a material fact, is a criminal offense (Title 18 U.S.C. Section 1001), for which you may be prosecuted.

I agree to all terms and conditions as previously cited.

INDIVIDUALS INVOLVED

Person Submitting Complaint (Complainant):

Alleged Offender(s):

Alleged Offender :

Alleged Offender :

Alleged Offender :

Alleged Offender :

Alleged Offender :

Alleged Offender :

Alleged Offender :

Alleged Offender :

Alleged Offender :

WHEN? (if Known)

WHERE?

WHAT?

HOW?