Law Enforcement & Regulatory Agency Requests

Nature of Disclosure:

Agency Information *

Contact Information *

Address Information *

Organization Information *

Description of Request

Is this request related to child exploitation or sex trafficking? *

If this request relates to a prior demand, include the previous reference number

A prior demand could include but is not limited to: a previous court order, subpoena, preservation request, or non-disclosure order.

Expiration Date of Non-Disclosure Order (if applicable)

Additional Information

Please include any other information that is relevant to this request.

Supporting Documents *

Upload the Executed Preservation Request

Acknowledgement of Terms and Declaration of Accuracy

I certify that the information provided in this report is wholly true, accurate, and correct at the time of submitting this form.

Agency Information *

Contact Information *

Address Information *

Organization Information *

Description of Request

Is this request related to child exploitation or sex trafficking? *

If this request relates to a prior demand, include the previous reference number

A prior demand could include but is not limited to: a previous court order, subpoena, preservation request, or non-disclosure order.

Expiration Date of Non-Disclosure Order (if applicable)

Additional Information

Please include any other information that is relevant to this request.

Supporting Documents *

Upload the Executed Subpoena

Acknowledgement of Terms and Declaration of Accuracy

I certify that the information provided in this report is wholly true, accurate, and correct at the time of submitting this form.

Agency Information *

Contact Information *

Address Information *

Organization Information *

Description of Request

Signed By *

Is this request related to child exploitation or sex trafficking? *

If this request relates to a prior demand, include the previous reference number

A prior demand could include but is not limited to: a previous court order, subpoena, preservation request, or non-disclosure order.

Expiration Date of Non-Disclosure Order (if applicable)

Additional Information

Please include any other information that is relevant to this request.

Supporting Documents *

Upload the Executed Search and/or Seizure Warrant

Acknowledgement of Terms and Declaration of Accuracy

I certify that the information provided in this report is wholly true, accurate, and correct at the time of submitting this form.

Agency Information *

Contact Information *

Address Information *

Organization Information *

Description of Request *

Signed By *

Expiration Date of Non-Disclosure Order *

Additional Information

Please include any other information that is relevant to this request.

Supporting Documents *

Upload the Executed Search and/or Seizure Warrant

Acknowledgement of Terms and Declaration of Accuracy

I certify that the information provided in this report is wholly true, accurate, and correct at the time of submitting this form.

Agency Information *

Contact Information *

Address Information *

Organization Information *

Description of Request *

Nature of Emergency *

Could include but is not limited to: suicide/self harm, threat to a person, or threat to a place.

What information is required to mitigate the threat and how will it be used? *

IP Address(s) Involved *

Note: an IP Address owned by Decibite/Negative0 Information Services Inc. must be included for this request.

Signed By *

Expiration Date of Non-Disclosure Order *

Additional Information

Please include any other information that is relevant to this request.

Acknowledgement of Terms and Declaration of Accuracy

I certify that the information provided in this report is wholly true, accurate, and correct at the time of submitting this form.