505 GET FREE State Human Trafficking Hotline

Victim Contact Form

To support the effort to best capture the quantity and quality of human trafficking work being done by the hotline, please provide the following information.  Any data provided will be entered into a private database to be used for victim followup and aggregate reporting.

Name of Hotline Responder *
Name of Hotline Responder
Gender *
Immigration Status
Type of Trafficking *
Is the victim a confirmed or suspected victim?
Was the person trafficked IN New Mexico or INTO New Mexico?
Was the trafficking internet-related? *
Did the trafficking occur in the past or is it still presently happening?
Is this person a sex worker? *
Have they been a sex worker in the past? *
Is there law enforcement involvement? *
Was the trafficking case previously prosecuted?
What types of advocacy/services are they currently receiving?
Check all that apply
Does the victim have children?
Provide information about ages, genders, custody status, placement, etc.
Is there suspected drug or alcohol use?
Is the person demonstrating suicidal or self-harming behaviors? *
Is there a crisis/safety plan in place?
List family, friends, or other supports with whom the person has contact.