REALTOR^® Safety Alert Submission Form

To notify law enforcement of a live emergency, please contact 9-1-1.

Complete the form below to notify Long Island Board of REALTORS® of a critical REALTOR® Safety-related issue. A response team will evaluate the submission to confirm it meets one of the following criteria for a local REALTOR® Safety Alert:

A REALTOR® or the immediate family member of a REALTOR® goes missing
The association name or the names of its programs are being used fraudulently to attempt to collect money or information from REALTORS® or others
A physical threat to REALTORS® warrants attention

You may also contact Long Island Board of REALTORS® Customer Service Department Monday – Friday 9:00am to 5:00pm by calling 631.661.4800, select Option 1, or email us at: safetyalert@lirealtor.com.

All information is required on this form unless "Optional" is stated.

Contact Name:

NRDS ID:

Email Address:

Address:

City:

State:

Zip:

Contact Phone Number:

Which of the following incidents has occurred?

A REALTOR® or the immediate family member of a REALTOR® is missing

An association name or the names of its programs are being used fraudulently to attempt to collect money or information from REALTORS® or others

A physical threat to REALTORS® warrants national attention

Description of critical REALTOR® Safety-related incident:

Is the victim a member of Long Island Board of REALTORS®?

Yes

Has law enforcement been notified?

Yes

If law enforcement has been contacted, please list officer's name, precinct and/or case number: (optional)

URL(s) of any news coverage about this incident (optional):

REALTOR® Safety Alert Submission Form

REALTOR^® Safety Alert Submission Form