Incident Reporting Form

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Incident Reporting Form

Use this form to report general incidents such as accidents, medical emergencies, conduct concerns, safety concerns, etc. This form is not for reporting emergencies or concerns that require immediate attention.

  • Your Information

    This is the contact information for the person filling out this form.
  • Your name
    Leave blank if reporting anonymously. Note that anonymous reports are more difficult for Campus Safety to follow up on.
  • Address
  • Date Format: YYYY dash MM dash DD
  • Choose the location closest to where the incident occurred
  • Include room numbers if applicable. Be as specific as you can.
  • 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 an SSN or Drivers License number in the block labeled "TC A# (or other ID Number)" if available. Use the "+" button at the end of this section to add more involved parties
  • Name or Organization (Last, First for names) Select Gender Select Role TC A# (or other ID Number) DOB Phone Email Address  
                   
    There are no Involved Parties.
  • Detailed Description

  • Please provide a detailed description of the incident/concern using specific concise, objective language (Who, what, where, when, why, and how).
  • Questions

  • What is your relationship with Taft College? * Required
  • Has the Taft Police Department been notified? * Required
  • What is the primary concern for this report?
  • Supporting Documentation

  • Photos, .pdf, MS Word, and certain other supporting document types may be attached below. 80 MB maximum total size. Attachments require time to upload, so please be patient after submitting this form.
    Drop files here or
    Accepted file types: jpg, gif, png, pdf, docx, doc, jpeg, xls, xlsx, txt.
  • This field is for validation purposes and should be left unchanged.