Report Ice

Rapid Response Network of Kern- Community Detainee Reporting Form

Please complete this form to report/refer anyone who has been detained by ICE in Kern County. Once you submit the form someone from the Rapid Response Network of Kern will follow up with the person and/or family member.

*Disclaimer- by completing and submitting this form you agree to have someone from the Rapid Response Network of Kern contact the detainee and/or family members to screen for possible assistance.

Today's Date*
Date Format: MM slash DD slash YYYY
Date of Arrest*
Date Format: MM slash DD slash YYYY
City of arrest*
Place of arrest (home, car, work, school, court, raid)*
Last name of detained person*
Last
First name of detained person*
First
Date of Birth*
Date Format: MM slash DD slash YYYY
Primary language*
City of residence*
Alien Number (A#)*
Name of primary contact*
Contact phone number*
Is person detained a minor*
- Yes
- No
- Other
Has the person detained been deported before*
- Yes
- No
CAPTCHA