Integrity Coordination Center - Intake Form

Please fill out this form, or contact us at 1-833-4ICE-OPR.

Helpful phone numbers/detainee information requests:

Detention Reporting and Information Line (DRIL): (888) 351-4024 (Monday - Friday 8 a.m. - 5 p.m.)
DOJ EOIR: (800) 898-7180 (immigration court dates, status of hearings)
Detainee locator

Privacy Act Requirements

All information submitted to OPR is collected and protected under the provisions of the Privacy Act. By submitting this information, you are consenting to our review of your information and allowing us to share information within ICE on your behalf.

The Privacy Act prohibits ICE from providing additional information regarding the status of misconduct cases reported to the agency outside an exemption pursuant to a Freedom of Information Act (FOIA) request. Requests for information should be directed to the ICE FOIA Office.

Paperwork Reduction Act

The public reporting burden to complete this information collection is estimated at one hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the necessary data, and completing and reviewing the collected information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid Office of Management and Budget (OMB) control number and expiration date. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to OPR.

Statutory Authority Limitations

Please note that OPR does not have the statutory authority to make or change ICE decisions.

* = Required Fields

Integrity Coordination Center - Intake Form

Reporting Party Data

I am ...:

First Name:

Last Name:

Example: Gonzalez-Lopez

Phone Number:

Email:

example@mail.com

Office Location

Street Address:

City:

State:

Zip Code:

Country:

Primary Language:

Alien Number:

Did the incident occur within an ICE Detention Facility?

Yes

If yes, what is the name/address of the Detention Facility?

Description of Complaint or Allegation of Misconduct

Routing Your Request/Inquiry/Complaint

Have you notified other agencies/entities regarding your request/inquiry/complaint?

Yes

If yes, what agencies/entities was it routed to and case number if known?

Declaration and Electronic Signature

I certify, under penalty of perjury under the laws of the United States of America, that the foregoing is true and correct, and that I am the person encountering difficulties with USICE (applicant/beneficiary/petitioner) or filing on behalf of a person encountering difficulties with USICE (applicant/beneficiary/petitioner) and I understand that any falsification of this statement is punishable under the provisions of 18 U.S.C Section 1001 by a fine of not more than $10,000 or by imprisonment of not more than five years or both, and that requesting or obtaining an record(s) under false pretenses is punishable under the provisions of 5 U.S.C. Section 522a(i)(3) by a fine of not more than $5,000.

By clicking here, I declare under penalty of perjury that the foregoing is true and correct.

By typing your name here, you are legally signing this form:

Date and time of submission:

Example: MM/DD/YYYY time a.m./p.m.

Authority: The collection of this information is authorized by 8 U.S.C. §§ 1103,1105, 1221, 1225, 1281, 1302, 1303, 1304, 1305, 1306, 1324(b)(3), 1324a, 1324c, 1357, 1360(b); 18 U.S.C. Chapter 27; 19 U.S.C. §§ 1431, 1436, 1481, 1484, 1485, 1509; 1584, 1589a, 1592, 1593a; 21 U.S.C. § 967; 31 U.S.C. §§ 5316, 5318; 40 U.S.C. § 1315; and 50 U.S.C. App. § 2411. Please also see the privacy policy for ICE's public website available at ICE's Privacy Policy.

Purpose(s): The information requested is being collected to enable ICE's processing of and response to inquiries in connection with immigration enforcement practices, policies, or programs as well as individuals' immigration matters. ICE may also use your information to contact you for additional details about your inquiry, if necessary.

Routine Use(s): Your information and the information you provide in your inquiry may be shared internal to the Department of Homeland Security (DHS) for appropriate action. The information you provide may also be shared with the United States Congress and other appropriate government agencies for the purposes of investigating and coordinating a response to your inquiry. The information you provide may also be disclosed as generally permitted under the Privacy Act of 1974, 5 U.S.C. § 552a(b), pursuant to the routine uses published in the Department of Homeland Security system of records notices, DHS/ALL-016 - Department of Homeland Security Correspondence Records and DHS/ALL-029 - Civil Rights and Civil Liberties Records.

Disclosure: Furnishing information on this web form is voluntary; however, failure to provide the requested information may delay or prevent ICE from processing and responding to your inquiry. You may also submit an inquiry by calling the ICE ERO Detention Reporting and Information Line at 1-888-351-4024

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Integrity Coordination Center - Intake Form

Privacy Act Requirements

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Integrity Coordination Center - Intake Form

Reporting Party Data

Description of Complaint or Allegation of Misconduct

Routing Your Request/Inquiry/Complaint

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Declaration and Electronic Signature