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Judicial Affairs

Judicial Affairs HRL Misconduct

This form should only be used for HRL misconduct complaints. For academic or personal misconduct please use the appropriate form.



*Indicates a required field
Title
* Name
*Are You
  Staff  Campus Police Officer
Affiliation
*Your E-mail
 
*Telephone #
( ) -
*Time of Incident:
*Location of Incident:
*Date of Incident
/ / (mm/dd/yyyy)
Was a police report filed?
A police report has been filed.
A police report has not been filed

Name(s) of
Officers Responding:

Please list the Names, Student ID Numbers, and Housing Address of each student involved:

(NAME,ID,ADDRESS)

 

*Please Give a Brief Narrative Description of the incident: