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Incident Reporting Form for Residential Life

This form is designed for incidents relating to the Office of Residential Life.

This form allows the staff in the Office of Residential Life, residents in the residence halls/on-campus apartments, students, and visitors with an online method to report specific information related to an alleged incident(s) regarding conduct or behavior that may be interrupting the educational environment.

This reporting form is to be used for non-emergency purposes only. If this is an emergency, please call University Police at 318.342.5350 and Residential Life professionals.

For other incident-reporting forms, please review the following:
Harassment, Discrimination, and Sexual Misconduct Reporting Form - For filing a report on harassment, discrimination, sexual misconduct, sexual assault, dating violence, stalking, gender based complaints or retaliation.

Background Information

Your full name:

Your position/title:

Your phone number:

Your ULM email address:

Email address must be of a valid format.

Your physical address:

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:

Involved Parties

Name or Organization

Select Gender

Select Role

ID Number

DOB (YYYY-MM-DD)

Phone number

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

Background Information

Involved Parties

Questions:

Supporting Documentation

Submission