OU-Tulsa Behavioral Intervention Team Reporting Form

Reporting Party Information

While anonymous reports are accepted, you are STRONGLY encouraged to provide your name and contact information in order to allow us to most effectively address the concerning behavior.

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Your full name:

Your position/title:

Your phone number:

Your email address:

Email address must be of a valid format.

Your physical address:

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.

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Please Select a location:

Specific location:

Person of Concern

Please provide as much information as possible about the Student, Faculty or Staff who is exhibiting concerning behavior.

Name

Select Gender

Select Role

ID Number

DOB (YYYY-MM-DD)

Phone number

Email address

Campus Department or Office

Additional Information

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.

Reporting Party Information

Person of Concern

Additional Information

Supporting Documentation

Submission