Incident Report

Reporter's Information

As the reporter of this incident, please complete this section. To report a student, student organization or an address, you MUST enter that information below under "Involved persons, organizations or addresses." Reports submitted with no parties identified under "Involved persons, organizations or addresses" will not be recorded.

Enable additional features by logging in.

Your full name:

Your position or role:

Your phone number:

Your email address:

Email address must be of a valid format.

Your address:

Nature of report(Required):

This field is required.

Additional Nature of 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.

Specific location or address:

Involved persons REQUIRED

Please provide identifying information for all involved parties.
Include yourself if you are a witness in addition to being the reporter.
We cannot take reports without at least ONE party listed.

Name or Street address

Select Role

Student ID Number (if known)

Phone number

Email address

Residence Hall address, if applicable

Narrative Information and Notifications

Please provide as much detail as possible about what you experienced or observed.

Please provide a description of the incident.(Required) This field is required.

What other departments have been notified?

Ohio State University Police Division Columbus Division of Police Other law enforcement agency Housing and Residence Education (formerly "Residence Life" or "University Housing") Office of Institutional Equity Other Student Life or university department or office

You must make at least one selection.

If you would like to provide additional information about others notified, such as the name of the department or of a specific individual, you may do so here. This field is required.

I have provided my name, phone number and email address so that I can verify elements of this report or respond to additional questions.(Required)

I have provided my name and contact information. I have not provided my name and contact information and understand that this limits Student Conduct's ability to take further action.

This field is required.

Student Conduct strives to uphold the privacy wishes of those who submit reports. It is important to note that, in order to comply with federal, state and local laws, as well as Ohio State policies, Student Conduct may be required to share information from this report with other university employees, law enforcement, or any Ohio State students charged with violating the Code of Student Conduct. To better understand when and how Student Conduct shares information, please call 614-292-0748 and ask to speak with a staff member.(Required)

I understand Student Conduct may be required to share information found in this report with other employees, law enforcement or students charged with violating the Code of Student Conduct based on an investigation initiated by this report.

This field is required.

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.

Email me a copy of this report

Reporter's Information

Involved persons REQUIRED

Narrative Information and Notifications

Supporting Documentation

Submission