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Campus View Village: Incident Report

If this is an EMERGENCY, dial 911 and then call Campus Security at (360) 416-7777. DO NOT USE THIS FORM TO REPORT EVENTS THAT PRESENT AN IMMEDIATE THREAT TO HEALTH OR SAFETY.

When completing this form, please include your name, title, and contact information. Please note that anonymously submitted forms may limit our effectiveness in dealing with concerning behavior.

If you have any questions about filing or completing a report, please contact the Campus View Village office at (360) 416-7650.

Background Information

Your full name:

Your position/title:

Your phone number:

Your email address:

Email address must be of a valid format.

Nature of this report(Required):

This field is required.

Urgency of this report(Required):

This field is required.

Date of incident(Required):

This field is required.

Time of incident:

Location of incident(Required):

This field is required.

Room number (if applicable):

Involved Parties

Name or Organization

Select Role

ID Number (without dashes)

DOB (YYYY-MM-DD)

Phone number

Questions

Supporting Documentation

Photos, videos, emails, and other supporting documents may be attached to this report. Anyone who is unable to adequately access the upload feature may request assistance from the Maxient Administrator at (360) 416-7923 or email sandy.jordan@skagit.edu for help and guidance. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Email me a copy of this report

Background Information

Involved Parties

Questions

Supporting Documentation

Submission