Campus Security Authority Crime Report Form

Contact Information Required
Incident Description Location of Incident: Required

Did the crime occur in a building or on the street? Did the crime occur in a building or on the street?: Required

Did the crime occur on a UW owned, controlled, or leased property?: Required

Did the crime occur at a University-sponsored activity or event?: Required

Incident Classification. Select all that apply to this incident: Required

Has the incident been reported to another UW department or to police?:

Offender(s) known?:

Were the victim and suspect ever living together, related or in a dating relationship?:

Was the incident motivated by bias (i.e., hate crime)?:

If motivated by bias, please select all biases that were relevant.:

STOP! This form is solely for use by Campus Security Authority to report incidents occurring on-campus, non-campus UW owned property or public property adjacent to on-campus properties.

Did You Know?

Seventy percent of first-year students are from diverse backgrounds