CARDINAL NEWS MEDIA UPLOAD

CARDINAL NEWS MEDIA UPLOAD

Voice-capable on mobile devices. If this is an emergency incident, remember Cardinal News Public Safety Reporter is not affiliated with any 911 center, police or fire agency. (* = REQUIRED FIELD)
Please agree #1) to call 911, if necessary, before proceeding with form, and #2) NOT to use this form while driving a vehicle (Don't agree? Form won't submit).*

AGREE
UPLOAD IMAGES OR VIDEO ...

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Limited to 8 images or 1 video (1 GB max). By submitting YOUR* photo(s) or video, you agree to allow Cardinal News to publish the photo(s) or video on websites and social media connected to Cardinal News in perpetuity. *Upload photo(s) or video(s) if media was captured by you. Cancelof
Do you want photo/video credit?
Yes? Enter name, otherwise type NO. If you leave this blank, photo(s) will be published WITHOUT credit.
If any TV news station is interested in your photo or video for possible broadcast, cable TV, website, or social media use in perpetuity, do you give permission to the TV station to use your photo or video? You agree not to be paid for your media.

YES, with name aboveYES, no credit if name blank aboveNO
WHAT IS THE ADDRESS OF THE INCIDENT? Please enter exact address (exact numeric addresses will not be published), or enter Intersection or Nearest Intersection ... *

Street Address or Intersection (both streets)

Street Address Line 2

CityState

Zip Code
Incident Date*

MonthDayYear
Date
Are you sure of the date?*

I'm SURE of the date.I'm NOT sure of the date.
Time*

:HourMinutesAM/PM Option
Are you sure of the time?*

The time is exact or near exact.I'm sure within the hour.I'm sure within 2 hoursI'm sure within 4 hours.I'm not sure at all.
Please Add Details (describe what you saw/heard or describe what this incident is about) ...
Describe any hazards and other details you noticed (optional).
EMERGENCY INFO

Additional information below applies to emergency incidents.
How many ambulances on scene? (estimate, check one)

No ambulance on scene1 ambulance on scene2 ambulances on scene3 ambulances on scene4 or 5 ambulances on sceneMore than 5 ambulances ...Unknown
DETAILS ...
Police and Fire Agencies on Scene (optional) ...
(e.g., Chicago Police Department, Chicago Fire Department)
Upload Image (optional)
Cell Phone # (xxx-xxx-xxxx)
(OPTIONAL/WILL NOT BE PUBLISHED)
OK to Contact you by email and/or cell phone text msg?

YESYES, by email (below)YES, by email or cell textNO
Email
example@example.com (Enter email address to receive a summary of your entries for your records. Submitting your email may help CARDINAL NEWS verify additional information. Your email is not used for any other purpose).
Enter the message as it's shown*
PERMISSION

Permission granted to CARDINAL NEWS and TV stations, if applicable ... By hitting SUBMIT, you agree that you have the copyright or ownership rights regarding photo(s) or video(s) submitted, and you grant full TV station use or CARDINAL NEWS permission to publish or broadcast photo(s) or video(s) on CARDINAL NEWS websites and official CARDINAL NEWS social media on Facebook and Twitter (with or without credit as you specified above) ...
Should be Empty:

CARDINAL NEWS MEDIA UPLOAD

EMERGENCY INFO

PERMISSION