Incident Report Form
In the event of an incident, complete this form as soon as possible. Columbia University Public Safety can be reached at (212) 854-5555. Fraternity & Sorority Life can be reached at (212) 854-5319.
Your Name & Relationship to Chapter:
Your Phone Number:
Date & Time of Incident:
Location of Incident:
Name of Person(s) Involved and Relationship(s) to Chapter:
Columbia Student(s), Member(s) / Non-Member(s), etc.
Was alcohol and/or drugs involved?
Description of What Happened:
Name(s) and if they are a Columbia student, member / non-member, etc.
If an NYPD Police Report was made, please provide: Precinct #, Officer Name(s), & Report #:
Have you contacted your Chapter Advisor or National Headquarters?
Any Additional Information:
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