• Name * Required
  • (if student/faculty)
  • Time of Incident * Required
    :
  • Please list all witnesses
  • Was anyone injured? * Required
  • Was alcohol involved? * Required
  • I agree that the above statement is true and accurate to the best of my knowledge. I understand that I may be contacted by Student Conduct and Conflict Resolution to provide further information or serve as a witness for a student conduct hearing.

  • Type your name