Refer a Student Conduct Violation

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Critical in the case of a serious health or safety issue.

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room number or address

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 in the block labeled SID (Student ID #) if available.

Name or Organization

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SID with 0 or License

Incident Description and Questions

Please provide a detailed description of the incident/concern using specific, concise, and objective language (Who, what, where, when, why, and how). Include all factual information that may be relevant.

Full incident description:(Required) This field is required.

Did anyone from Public Safety assist?(Required)

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Supporting Documentation

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Your Information

Involved Parties

Incident Description and Questions

Supporting Documentation

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