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Public Safety Reporting Form


BEFORE YOU BEGIN: If this is an emergency that requires immediate attention, please contact Public Safety at 610-328-8333 or by dialing 911 prior to filling out this referral form. While this form is reviewed by Public Safety daily to assist the Swarthmore community, it is NOT designed as an emergency response notification process.

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.

Public Safety at Swarthmore College operates 24/7/365 and is fully committed to providing a safe and healthy campus for the entire community.

Please use this form to report any behaviors of concern involving Swarthmore College community members, whether these behaviors occur inside or outside of the classroom setting. Reportable behaviors may include Student Code of Conduct violations, an individual who you feel may be struggling physically or psychologically, or any other behaviors of concern that you would like to report.

Under Swarthmore College’s Mandatory Child Abuse Reporting Policy Mandatory Reporting Policy Any Employee (or volunteer), who has reasonable cause to suspect that a child/minor who is on College property for any reason, or is participating in a College-sponsored activity at another location, has been the victim of child abuse shall immediately report the suspected abuse consistent with the College’s policy.

Per College policy, after contacting Pennsylvania’s ChildLine, one must notify Swarthmore College Department of Public Safety by completing this Public Safety Reporting Form. 


If you have any questions regarding filing an incident report, please contact Public Safety at (610) 328-8281.

Instructions

Please provide your contact information so that we may follow up with you, as needed.

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Please enter a number where you may be reached
Email address must be of a valid format.
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Enter your @swarthmore.edu address if affiliated with College
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Example (Parrish Hall, Room 140)
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If Child Abuse/Mandated Report, use today's date if incident date unknown.
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Text Auto Fill
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Example (Parrish Hall, Room 140)

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 a Drivers License number or Tri-Co ID number in the block labeled SID (Student ID #) if available.

Involved party 1

REASON(S) FOR REPORT

Please complete each section fully and to the best of your knowledge. Please indicate the relevant category(s) that pertain to this incident report if applicable.

BEHAVIORAL CONCERN
You must make at least one selection.
CONDUCT
You must make at least one selection.
INFORMATIONAL
You must make at least one selection.
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This field is required.
This field is required.
What offices/resources were consulted/contacted during this incident?
You must make at least one selection.
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.

Submission