| What type of crime/incident are you reporting? |
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| If other, please specify: |
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| When did the crime/incident occur? |
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| What time did the crime/incident occur? |
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| Where did it happen? |
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| If applicable, which residence hall? |
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| If applicable, which academic building? |
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| Describe location: |
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Explain why you think a crime/incident has taken place:
(i.e. what have you seen or heard)
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Suspects or individual parties:
If the party's name is unknown, please give a physical description:
(i.e. clothing, appearance or perhaps who the party was visiting on campus) |
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| CONTACT INFORMATION (OPTIONAL): |
| E-mail Address: |
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| Name: |
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| Telephone: |
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| Address: |
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| City: |
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| State: |
Zip: |
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