Please use this form if you are an individual identified as a "Campus Security Authority" to report the required information about specified crimes (listed below) pursuant to the federal Clery Act. The information collected from these forms is used to prepare a compilation of statistical crime information for inclusion in the campus' Annual Security and Fire Safety Report.
Completed forms will be forwarded to Brian Cadwell, Public Safety and Police Services Director and Chief.
It is the policy of the Department of Public Safety and Police Services to ensure that the victims and witnesses to crime are aware of their right to report criminal acts to the police and to report University policy violations to the appropriate office (e.g. student conduct violations to the Dean of Students). However, if a reporting person requests anonymity, this request must be honored to the extent permitted by law. Accordingly, no information should be included on this form that would personally identify the victim without his/her consent.
Based on information received, DPSPS will determine the category of the crime or incident and the location under which the incident should be reported in the Annual Security and Fire Safety Report.