2022-2023 Security Incident Report

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Email *

Record my email address with my response

Date

YYYY

Time

Building *

Staff Last Name

Staff First Name

Position

Contact phone number

Type of Incident *

Threats of physical attack without a weapon

Threats of physical attack with a weapon

Threats of physical attack with a firearm or explosive device

Physical attack or fight without a weapon

Physical attack with a weapon

Physical attack with a firearm or explosive device

Possession of a firearm or explosive device

Robbery without a weapon

Robbery with a weapon

Robbery with a firearm or explosive device

Sexual assault (other than rape)

Rape or attempted rape

Drug related

Allegation of harassment or bullying on the basis of sex

Allegation of harassment or bullying on the basis of race, color, or national origin

Allegation of harassment or bullying on the basis of disability

Allegation of harassment or bullying on the basis of sexual orientation

Allegation of harassment or bullying on the basis of religion

Other:

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