Herkimer County Threat Assessment On-Line Referral Form

Home
Programs
Forms
Herkimer County Threat Assessment Management (TAM) Form

Herkimer County Threat Assessment On-Line Referral Form

For any imminent or immediate threat, Call 911.
Knowingly making a false report is punishable pursuant to NYS Law.
All Referrals are kept confidential.

Date:

Name of person making report:

Contact phone of person making report:

Email of person making report:

Name of person(s) or group making a threat or engaged in suspicious activity:

Address of person(s) making a threat of engaged in suspicious activity:

Age or approx age of person making threat:

Employer or school of person making threat:

Who do you believe is in danger or the target of these threats or suspicious behavior:

Please provide details or threat or suspicous activity:

Please complete this form verification.

Herkimer CountyThreat Assessment On-Line Referral Form

Herkimer County Threat Assessment On-Line Referral Form

Herkimer County
Threat Assessment On-Line Referral Form