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Incident Reporting Form


This general reporting form is to be used for non-emergency purposes only. If this is an emergency or an immediate threat to life, call University Police at 318.342.5350. For reporting incidents in specialized areas, click on the relevant form, to be routed to the appropriate administrator.

A) General Incident Form - For filing a report regarding incidents that may be in violation of the Standards of Conduct or interrupting the educational environment (complete the form below).

B) Residential Life Incident Form - For filing a report (non-emergency) regarding incidents applicable to Residential Life (on-campus residence halls and apartments) click here.

C) Academic Integrity or Classroom Disruption Incident Form - For filing a report (non-emergency) for cheating, plagiarism, welfare concerns or classroom behavioral issues click here.

D) Sex Discrimination and Sexual Misconduct - This form should be used to report an incident involving an alleged violation of the ULM Sexual Misconduct Policy (including Sex Discrimination, Sexual Harassment, Sexual Assault, Dating Violence, Domestic Violence, Stalking on the basis of Sex and Sexual Exploitation) click here.

E) Hazing Reporting Form - For filing a report (non-emergency) for acts of hazing click here.

F) Welfare Concern Reporting Form - For filing a report (non-emergency) for on a student who may need crisis assistance click here.

G) Online Security Threat Reporting Form - For filing a report (non-emergency) regarding online threats, internet fraud, cyber stalking/harassment click here.

Background Information

 
Email address must be of a valid format.
This field is required.
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Involved Parties

Please list the individuals involved (excluding yourself), including as many of the listed fields as you can provide. For non-students, please list an SSN or Drivers License number in the block labeled CWID if available.

Involved party 1

Questions

Please indicate the relevant sections that pertain to this incident report (check all that apply).(Required)
You must make at least one selection.
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Was UPD contacted?
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Were any students arrested?(Required)
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Was an ambulance contacted?(Required)
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Were any students transported?(Required)
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Was professional housing staff contacted?(Required)
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Was an Administrative Room Search conducted?(Required)
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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission