Crime Reporting Form

Crime Reporting Form

If you believe there is an immediate or ongoing threat to the safety of an individual or campus community, call 911.

The purpose of this form is to provide information to the University Police Department for the determination of a Timely Warning, Emergency Notification, and to provide federally required data for the Annual Security and Fire Safety Report.

If you are a Campus Security Authority (CSA) and you have become aware of an alleged crime occurring on or near campus property, please use this form to report required information. As a CSA you must include your name and contact information in the event follow-up is needed.

Other members of the campus community may choose to complete this form anonymously.

If confidentiality is requested by the victim, the victim's name(s) need not be included in Section 1 of this form. If an alleged victim wishes to file a police report, please advise and assist them to contact the University Police Department directly at (203) 932.7014. In the event of an emergency, always call 911.

If you need assistance filling out this form, or otherwise require an accommodation, please contact University Police Department at (203) 932.7014.