Incident Reporting Form

Who is making the report and where did the incident occur?

If you are a Bay College employee, you can enable additional features by logging in before you start filling out this report.

Enable additional features by logging in.

Your full name:

Learn more

Or, you can write Anonymous if you do not want to be identified.

Your phone number:

Learn more

Provide the best phone number to reach you at.

Your email address:

Email address must be of a valid format.

Learn more

Provide and email address where you can be reached and/or official notifications can be sent.

Nature of this report(Required):

This field is required.

Learn more

Please select from the pull-down menu the most accurate description of what you are reporting.

Urgency of this report(Required):

This field is required.

Learn more

Please let us know if this is a critical situation.

Date of incident(Required):

This field is required.

Time of incident:

Location of incident(Required):

This field is required.

Specific location:

Involved Parties

Please list the individuals involved (excluding yourself), including as many of the listed fields as you can provide.

Name or Organization

Select Gender or Organization

Role in the Incident

ID Number

Phone number

Email address

Additional Information

Please provide a detailed description of the incident/concern using specific concise, objective language (Who, what, where, when, why, and how). This field is required.

If we are able to offer this, do you want any follow up regarding this report?(Required)

Yes No

This field is required.

Supporting Documentation

Provide any additional documentation you may have. Documentation can include video recordings. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Email me a copy of this report

Who is making the report and where did the incident occur?

Involved Parties

Additional Information

Supporting Documentation

Submission