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Incident Types
Reporting Persons
Involved Contacts
Incident
Vehicles Involved
Property
Digital Media
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Requestor's IP Address : 3.128.30.773.128.30.77
Select Report Type
Please select the report type:
Original or Supplemental.
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Report Type
Definition
Original
This is the first report you have filed for this incident.
Supplemental
You are adding information to a
previous report
which was
submitted online
.
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Original Online Report Number:
Select Incident Type(s)
Select
Incident Type
Definition
Examples
Complaint
Criminal Mischief
To willfully destroy or damage property or data; interfering with the lawful use of property or data; interfering with any person.
Disturbance
The interruption of a settled and peaceful condition.
Fraud
Intentional perversion of truth in order to induce another to part with something of value or to surrender a legal right.
Safety Reporting
Reporting of hazardous or possible hazardous conditions on campus.
Debris, slippery floor, unsafe conditions.
Sexual Harassment
To harass a person because of that person's sex. Harassment can include "sexual harassment" or unwelcome sexual advances, requests for sexual favors, and other verbal or physical harassment of a sexual nature.
Theft
The taking of another person's personal property with the intent of depriving that person of the use of their property.
Select Reporting Person Type
Please select a proper person type according to the definition below.
Select
Person Type
Definition
Individual
If you are reporting this for yourself.
Business
If you are responsible for reporting this for your employer or your own business.
Enter Reporting Person Information
Please enter your information as completely as possible. You may be contacted regarding this incident. An email address is required if you would like to be notified when this report is received and approved.
Person Type:
ACCOUNT MANAGER
ACCUSED
ADMIN
ADMIN(COMPLAINANT)
ADMIN/STAFF
ALUMNI
ANONYMOUS
CONTRACT OFFICER
DEER
DRIVER
FACULTY
FACULTY (ACCUSED)
FACULTY (COMPLAINANT)
FACULTY-RETIRED
INSTRUCTOR
KEYHOLDER
LAB AIDE
MISSING
N/A
NEIGHBORHOOD RESIDENT
OFFICER
OWNER/MANAGER
PARENT
PRESIDENT
PROPERTY OWNER
REPORTING PERSON
STAFF
STAFF (COMPLAINANT)
STAFF (CONTRACT)
STAFF (HSKP)
STAFF (WITNESS)
STAFF MEMBER
STAFF(ACCUSED)
STUDENT
STUDENT (COMPLAINANT)
STUDENT (GED CLASS)
STUDENT (SUSPECT)
STUDENT (VICTIM)
STUDENT (WITNESS)
STUDENT(ABLE PROGRAM)
STUDENT-OUTSIDE PROGRAM
STUDENT/VICTIM
SUSPECT
UNKNOWN
VAGRANT
VEHICLE OWNER
VENDOR
VENDOR (VICTIM)
VICTIM
VICTIM/COMPLAINANT
WITNESS
Employee ID:
First Name:
Middle Name:
Last Name:
Home Address:
City
 /
State
 /
Zip Code:
 /
Country
 ,
 ,
,
Home Phone:
Mobile Phone:
Email Address:
Email report to this address
Confirm Email:
Employer Name:
Work Address:
City
 /
State
 /
Zip Code:
/
Country
 ,
 ,
,
Work Phone:
Race:
A - ASIAN
ASIAN
B - BLACK
BLACK
BLK - BLACK
H - HISPANIC
HISPANIC
I - AMERICAN INDIAN/ALASKIN NATIVE
N/A
OTHER
U - UNKNOWN
W - WHITE
WHI - WHITE
WHITE
Sex:
B - BLACK
F
FEMALE
MALE
UNKNOWN
W - WHITE
DOB:
April
2024
Driver License Number:
Licensing State:
Person Type
Name
Home Phone
Mobile Phone
Work Phone
Enter Involved Contact Information
Please enter your information as completely as possible. You may be contacted regarding this incident. An email address is required if you would like to be notified when this report is received and approved.
Person Type:
ACCOUNT MANAGER
ACCUSED
ADMIN
ADMIN(COMPLAINANT)
ADMIN/STAFF
ALUMNI
ANONYMOUS
CONTRACT OFFICER
DEER
DRIVER
FACULTY
FACULTY (ACCUSED)
FACULTY (COMPLAINANT)
FACULTY-RETIRED
INSTRUCTOR
KEYHOLDER
LAB AIDE
MISSING
N/A
NEIGHBORHOOD RESIDENT
OFFICER
OWNER/MANAGER
PARENT
PRESIDENT
PROPERTY OWNER
REPORTING PERSON
STAFF
STAFF (COMPLAINANT)
STAFF (CONTRACT)
STAFF (HSKP)
STAFF (WITNESS)
STAFF MEMBER
STAFF(ACCUSED)
STUDENT
STUDENT (COMPLAINANT)
STUDENT (GED CLASS)
STUDENT (SUSPECT)
STUDENT (VICTIM)
STUDENT (WITNESS)
STUDENT(ABLE PROGRAM)
STUDENT-OUTSIDE PROGRAM
STUDENT/VICTIM
SUSPECT
UNKNOWN
VAGRANT
VEHICLE OWNER
VENDOR
VENDOR (VICTIM)
VICTIM
VICTIM/COMPLAINANT
WITNESS
Employee ID:
First Name:
Middle Name:
Last Name:
Home Address:
City
 /
State
 /
Zip Code:
/
Country
 ,
 ,
,
Home Phone:
Mobile Phone:
Email Address:
  
Email report to this address
Confirm Email:
Race:
A - ASIAN
ASIAN
B - BLACK
BLACK
BLK - BLACK
H - HISPANIC
HISPANIC
I - AMERICAN INDIAN/ALASKIN NATIVE
N/A
OTHER
U - UNKNOWN
W - WHITE
WHI - WHITE
WHITE
Sex:
B - BLACK
F
FEMALE
MALE
UNKNOWN
W - WHITE
DOB:
Driver License Number:
Licensing State:
Person Type
Name
Home Phone
Mobile Phone
Work Phone
Enter Incident Information
Please enter all the information that applies. If you do not know the address of the incident, use the nearest intersection such as Market St./ 10th St. Please ignore previous instructions. LB
Street Address:
City
 /
State
 /
Zip Code:
/
Country
 ,
 ,
,
Incident Time (start):
Incident Time (end):
Have Vehicle Info to Enter?:
Yes
No
Have Property Info to Enter?:
Yes
No
Have Digital Media to Enter?:
Yes
No
Origin of Threat:
NON-CAMPUS
ON CAMPUS
PUBLIC PROPERTY
Incident Description:
(Characters Left)
Enter Vehicle Information
Please enter the Vehicle information.
Type:
2 DOOR VEHICLE
3 DOOR VEHICLE
4 DOOR VEHICLE
N/A
Make:
ACURA
AUDI
BMW
BUICK
CADILLAC
CHEVROLET
DODGE
FIAT
FORD
GENERAL MOTORS CORP
GMC
HARLEY DAVIDSON
HONDA
HUMMER
HYUNDAI
INFINITI
ISUZU
JAGUAR
JEEP
JOHN DEERE
KAWASAKI
KIA
LAND ROVER
LEXUS
LINCOLN
MERCEDES BENZ
MITSUBISHI
NISSAN
OLDSMOBILE
PLYMOUTH
PONTIAC
PORSCHE
RANGE ROVER
ROLLS ROYCE
SAAB
SATURN
SCION
SUBARU
SUZUKI
TOYOTA
TRIUMPH
VOLKSWAGEN
VOLVO
YAMAHA
Model:
Year (YYYY) :
Color:
BLACK
BLUE
BROWN
GRAY
GREEN
ORANGE
PINK
PURPLE
RED
TAN
WHITE
YELLOW
License Plate Type:
AUTOMOBILE
FARM VEHICLE
MOTORCYCLE
PASSENGER
SEMI-TRUCK
TRUCK
License Plate Number:
(do not enter spaces)
Licensing State:
VIN:
(do not enter spaces)
Insurance Company Name:
Insurance Policy #:
Insurance Policy Expiration Date:
Enter Property Information
Please enter the Property information.
OwnerShip:
COMPANY
PERSONAL
Type:
AUTOMOBILES
BICYCLES
CELL PHONE
CLOTHES/FURS
CLOTHING
COMPUTER HARDWARE/SOFTWARE
CONSUMABLE GOODS
CREDIT/DEBIT CARDS
DRUG/NARCOTIC EQUIPMENT
DRUGS/NARCOTICS
ELECTRONIC EQUIPMENT
GLOVES
HOUSEHOLD GOODS
IPOD/MP3
JEWELRY
JEWELRY/PRECIOUS METALS
LAPTOP
MERCHANDISE
MONEY
N/A
OFFICE-TYPE EQUIPMENT
PURSE/WALLET
PURSES/HANDBAGS/WALLETS
RADIOS/TVS/VCRS
SNEAKERS
STRUCTURES
TOOLS
WATCH
Subtype:
Brand:
Model:
Color:
BLACK
BLUE
GREEN
ORANGE
PINK
RED
YELLOW
Serial Number:
How Many:
Approx. Market Value ($):
Property Description:
Select Digital Media
Please select any digital media (pictures, documents or any digital data files) up to 2047 MB that are relevant to this incident.
File Name
Title
Description
Review Report
Please review the report. If all the information is correct, click the Continue button to submit the report. If you need to modify some information, click the desired modify link. This will be your last chance to change information for this report.
General Information:
Incident Type(s):
Reporting Person/Involved Contact Information:
Incident Information:
Incident Location:
Incident Time (start):
Incident Time (end):
Origin of Threat:
Incident Description:
Vehicle Information:
Type:
Make:
Model:
Year (YYYY):
Color:
License Plate Type:
License Plate Number:
Licensing State:
VIN:
Insurance Company Name:
Insurance Policy #:
Insurance Policy Expiration Date:
Property Information:
OwnerShip:
Type:
Subtype:
Brand:
Model:
Color:
Serial Number:
How Many:
Market Value($):
Property Description:
Digital Media:
Your report has been submitted.
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