Campus Incident Report
Name
*
First
Last
Email
*
Phone Number
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Area Code
Phone Number
Date of incident
*
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Month
-
Day
Year
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Title/Affiliation
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Faculty
Professional Staff
Student Staff
Student
Member of the community
Urgency of this Report
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Normal
Critical
Specific Location (Room #, description of location)
Complaint/Concern Type (check all that apply)
Campus Employee/Personnel
Campus Policy
Emergency Response
Food/Culinary
General Safety
Hazing
Person's Safety/Care
Residential Facilities
Roommate Problems
Other
Description/Narrative
Were TFC Campus Security, local police, medical professionals, or EMT involved?
Yes
No
Were any campus faculty/staff notified or involved? (list them here)
Attach a photo or document related to the incident if you have one.
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