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Related Information
Incident Report
Please fill out this form to the best of your ability. When completed, click "Send Report" for your e-mail to be sent to Student Development and Security.
Report Filed By
*
I am a: (Choose One)
Security Officer
Residence Life Staff Member
Student
Staff/ Faculty Member
My Email Address
Enter Email
Confirm Email
Date of Incident
Time of Incident
:
HH
MM
AM
PM
Building
Merici Hall
Saffer Hall
Trustees Hall
Young Hall
Reitz Hall
Greenwell Hall
St. Joseph's Hall
St. Mary's Hall
Philby Hall
Ursula Hall
Campus Center
Quad
Parking Lot
Administration Building
Science Building
Lechner Building
Library
Chapel
Room/Apartment
Apartment Room
A
B
C
D
E
Bathroom
Kitchen
Living Room
Incident Type (you may select more than one)
*
Complaint
Suspicious Activity
Quiet Hours Violation
Visitation
Failure to Comply
Disorderly Conduct
Alcohol Violation
Alcohol Decor
Public Intoxication
Smoking Indoors
Drug Violation
Theft
Vandalism
Unauthorized Person
Harassment
Assault
Weapon Violation
Sexual Assault
Exposure
Fire Code Violation
Fire Alarm
Vehicle Accident
Accident/ Injury
Slip/Trip Hazard
Staff Present
Students Involved (Format should be: Last Name, First Name, Student ID)
Non-Students Involved (Format should be Last Name, First Name, State ID number)
Witnesses (Format based on above)
Narrative
*
Action Taken
Was Residence Life Contacted?
Yes
No
Will Follow Up
Were the Authorities contacted or on scene?
Police
Ambulance
Fire Department
Campus Security
Other
If so, what time, and please supply a contact from that organization. (i.e. OPD Officer's Name)
Evidence Present
Yes
No
Evidence Taken
Yes
No
If items were taken...what? Where and whom took them?
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