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Concerned person report form


Concerned Person Reports are not reviewed 24 hours a day, 7 days a week.

If this is an emergency, or if the person you are reporting poses a threat of harm to self or others, suicide,  impending violence, or sudden and significant mental health deteriorations, please first call Campus Safety immediately at 561-237-7226 (24 hours a day, 7 days a week) or 911, and then fill out a Concerned Person Report afterward.

Otherwise, please proceed with the report below. 


The Concerned Person Report is an appropriate method of reporting any concerns related to a student's personal, physical, and/or emotional well-being and safety. Oftentimes, but not always, there will be some sort of response involving outreach to the student. However, a Concerned Person Report does not initiate an immediate response. Reports are reviewed individually by the ALERTeam on a weekly basis and institutional response is coordinated.

Student Conduct: If you intend to report a violation of university policy to be addressed through the student conduct process, your concern should be directed to a member of the Housing and Residence Life staff or to Campus Safety. 

Sexual or Gender-based Misconduct: To make a report of sexual or gender-based misconduct, including but not limited to sexual assault, sexual violence, harassment, discrimination, stalking, or intimate partner violence, please utilize the Sexual Harassment and Gender-Based Misconduct Report click here.”

Confidentiality: The Academic Life Emergency Response Team (ALERTeam) will take reasonable steps to maintain the privacy of those who complete a Concerned Person Report.

Please note: If you have any questions regarding this form or have additional updates or concerns, please call 561-237-7230 during regular business hours. You may also reach us via e-mail at dos@lynn.edu .

Submitter Information

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Please describe your relationship to the person you are reporting (friend, instructor, family etc.)
Email address must be of a valid format.

Person of Concern Information

Involved party 1

Concerned Person Report Information

Nature of this report:
You must make at least one selection.
This field is required.
This field is required.
Please check the box, below if you are requesting follow up contact:
You must make at least one selection.
I understand that this report is sent to a system that is not reviewed 24/7. I acknowledge that if this is an emergency, or if there is a threat of harm to self or others (including suicide, impending violence, or sudden and significant mental health deteriorations), that I should first call 911 or Campus Safety (561-237-7226), and then fill out this Concerned Person Report afterwards.(Required)
You must make at least one selection.

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