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Person of Concern Reporting Form

Person of Concern Reporting forms are used to alert campus officials to actions and behaviors that are concerning. UAM has created a network of campus professionals that are committed to a caring, confidential program of identification, intervention and response in order to provide our campus with the greatest chance of success with the greatest level of protection.

Frequently Asked Questions regarding reporting a person of concern can be found here.

Tips for recognizing distressed students can be found here.

In the event of an emergency, contact University Police immediately at (870)-460-1000 or dial 911.

Reporting Party Information

Your full name:

Your phone number:

Your email address:

Email address must be of a valid format.

Nature of this report(Required):

This field is required.

Urgency of this 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:

Person(s) of Concern

Full Name

Gender

Role

ID Number

Phone number

Email address

Questions

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

Reporting Party Information

Person(s) of Concern

Questions

Supporting Documentation

Submission