CSA - Crime Reporting FormPlease use this form to report any Clery Act crimes that have already occurred. Please do not use this form to report an active threat/emergency.You must have JavaScript enabled to use this form.Indicates required field Full NameEmail AddressRole / Position TitleAre you reporting a Clery Act crime?ÌýYesÌýNoÌýUnsureWhat date did the crime occur?Where did this Clery Act Crime occur?Please be as specific as possible, including the physical address if you are able to.What Clery Act crime occurred?ÌýMurder & Non-Negligent ManslaughterÌýNegligent ManslaughterÌýRobberyÌýAggravated AssaultÌýBurglaryÌýMotor Vehicle TheftÌýArsonÌýLarceny-TheftÌýSimple AssaultÌýIntimidationÌýDestruction, Damage, or Vandalism of PropertyÌýDomestic ViolenceÌýDating ViolenceÌýStalkingÌýSexual AssaultÌýRapeÌýStatutory RapeÌýFondlingÌýIncestÌýLiquor Law ViolationÌýDrug Law ViolationÌýWeapon Law ViolationPlease select all relevant crimes you believe to have occurred.Please thoroughly describe the details of the Clery Act crimeYou may ask yourself the following questions when writing your report to be as specific as possible: (Who, What, Where, When, Why, How) * Please note: Victims may maintain confidentiality; CSAs cannotWhen was this Clery Act crime reported to you?Was this Clery Act crime reported to other units?ÌýYesÌýNoÌýUnsureOther units may include: Â鶹Ãâ·Ñ°æÏÂÔØBoulder Police Department, Office of Student Conduct & Case Resolution, Student Support & Case Management, Office of Institutional Equity & Compliance?
