TikTok Emergency Disclosure Request Form

TikTok Emergency Disclosure Request Form

This form is for sworn law enforcement officials ONLY requesting user data based on an imminent threat of death or serious physical bodily injury. No other uses of this form are permitted.

Requestor information

Your title and full name:

Agency badge or ID number:

Agency/Division:

Agency address:

Official Email address:

Phone number:

Records request

Internal case reference number:

Username of the individual whose information is to be disclosed:

info_icon

How do I find the username?

Screenshot of the user's profile page

Link to the TikTok content you would like us to review from the account above:

Describe the nature of the emergency:

Indicate when the emergency arose and how and when you became aware of it:

Describe the information you believe is necessary to prevent the emergency and explain how that information may assist in averting the threatened emergency:

Statement

I affirm that:

Electronic signature:

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