Campus Security Authority Crime Statistic Reporting Form

Campus Safety Authority Crime Statistic Report Form

The purpose of THE CLERY ACT is to encourage accurate and timely reporting of campus crime statistics in order to provide information to the campus community to promote crime awareness and to enhance campus safety. If you have not received Clery Act training, or need help filling out the following form, please email Clery Compliance clery@wfu.edu.

Please do not use this form to report crimes in progress or for emergency situations. For immediate assistance, please call 911.

"*" indicates required fields

Reporting Person: (Campus Security Authority)*

First Last

Phone Number

Email Address*

University ID Number

Do you have anything to report?*

Yes

Classification*

If Classification is Other, please describe

Date Incident Occured*

Location of Incident: (building name/address)*

Brief Description of Incident*

Was this incident bias related?*

Did the crime occur in a building, residence hall or outside/street?*

Did the crime occur on WFU-owned, controlled, or leased property?*

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

Additional Information

Name

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This is not for reporting emergencies. For reporting emergencies dial 336.758.5911

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Campus Security Authority Crime Statistic Reporting Form

Campus Safety Authority Crime Statistic Report Form

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