Clery Crime Reporting Form

Clery Crime Reporting Form

Campus Security Authorities should complete this form with information about any known Clery Act Crimes, per their reporting requirements. WSU community members are also welcome to use this form to report crimes for inclusion in the yearly annual security report statistics. Emergencies should be reported to 9-1-1. This form is not a substitute for contacting law enforcement.

Which WSU campus or site did the crime occur at?

Select

If Other

Has local law enforcement been contacted?

Select

Law Enforcement Agency

Case Number, if known

Your Contact Information

Reporter's Name*

If you don't feel comfortable sharing your name, you can type Anonymous.

Department/University Organization

Phone Number

Crime Details

Date(s) of Crime

Where did the crime occur?

Select

Crime Location Address

Name and Contact Information of persons involved

Provide any information you have available about who may have committed the crime and/or any victim information. For example, Suspect = Person A, personA@wsu.edu, and the Victim is unknown.

Description of the crime

Provide any information you have available about what occurred.

Type of Clery Crime?

Not sure? Select "Unsure."

Select

Send me a copy of my responses

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