The CSA Report Form is to be used by Campus Security Authorities (CSAs) or individuals who believe they may be a Campus Security Authority, to report Clery Act crimes. CSAs are responsible for reporting allegations of Clery Act Crimes that are reported to them in their capacity as a CSA. CSAs are not responsible for determining whether a crime took place.
In an emergency, call 911.
In most cases it is possible for a CSA to fulfill thier responsibility while withholding personally identifiable information.
This CSA report does not automatically result in the initiation of a police or disciplinary investigation. If the victim would like to pursue disciplinary action direct them to the Director of Affirmative Action/Equity, Lori Mikl 457-5008.
Fill out as much information as possible when using this form. If you do not know the information leave it blank. It is not your duty to investigate the incident, but rather it is your duty to report the incident.
To ensure proper Clery Act classification of the incident being reported, the contact information of the person filling out this form is being requested. Contact will be limited and only initiated if the Director of Security needs further assistance in the proper classification of the incident.
If you need assistance in filling out this form please contact the Director of Security, Chris Cichosz, at 457-5555.