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Contact Information (optional)

You may remain anonymous, but having the ability to contact the informant is often critical to the success of an investigation. If you choose to provide your name and contact information, the County will hold your identity in confidence to the extent allowed by law. You can read more about this here.

May we contact you to obtain clarification and/or additional information?

Your relationship to LA County:

First Name:

Middle Name:

Last Name:

Primary Phone:

You must enter a valid/complete phone.

Phone Type:

Best Contact Time:

Do you have an alternate number?

Email:

You must enter a valid email address.

Address 1:

Address 2:

City:

State:

Zipcode:

Zip Code format must be 12345 or 12345-6789

“Ok to contact me” has been selected, please enter your name and phone number or an email. Otherwise, please select "Keep Me Anonymous".