Campus Security Authority Details and Reporting Form

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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 enhance campus safety.

If you have not received Clery Act training or need help filling out the following form, please email Clery Compliance at clery@wfu.edu.

This form is not to report crimes in progress or for emergency situations. For reporting emergencies dial 336.758.5911

Campus Safety Authority Crime Statistic Report Form

"*" 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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Campus Security Authority Details and Reporting Form

Campus Safety Authority Crime Statistic Report Form

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