Confidential Reporting

If the crime is in progress, please do not use this page, but call 9-1-1!

Victims or witnesses wishing to report a crime on a voluntary, confidential basis for inclusion in the Annual Security Report can submit a report to ICOM Campus Security by completing this form.

Question Title

* 1. Are you a crime victim, or witness to the crime?

Crime Victim

Witness

Question Title

* 2. Do you wish this report to be treated as confidential?

Yes

No

Question Title

* 3. If you answered "No", please provide your name and contact information

First name

Last name

Email address

Mobile phone number

Question Title

* 4. Date and time incident, if known

Date / Time

Date

Time

AM/PM

Question Title

* 5. Location of incident, if known

Question Title

* 6. Incident details - please provide as much information as possible