Texas Department of Licensing and Regulation

Human Trafficking

Click BACK to go to Previous Page

Please choose an area where you suspect a case of human trafficking:*

Human Trafficking Details

Name of Business/Individual:*

Business Address:*

City:*

State:*

Zip:*

Business Phone Number:

Business Email or Website Address:

Describe the human trafficking activity

(exceeding 1,000 characters will only submit a partial complaint):*

Your details

Do you want to remain anonymous?(If yes, please leave the fields below blank.)

Yes

Full Name(First and Last):

Mailing Address:

City:

State:

Zip:

Contact Number:

Email:

Attachments

Please attach any supporting documentation you have relating to your incident, i.e., receipts, photos, etc. Attachments (PNG, JPEG, JPG, BMP, GIF, TIFF, DOC, DOCX, XLS, XLSX)

Drop files here, or browse to attach files

Confirmation Required

Are you sure you want to remove the selected file?

**Note: Max total upload size is 35MB. If your total attachment size is larger than 35MB, your email will not be received. You can submit additional files
by filling out this form again with the extra attachments.

Save Secure Form Draft

Do you wish to save the changes made to 'Human Trafficking ' as a draft?