[] 1 Step 1 Incident Information: Using the list and definitions of crimes provided on the confidential reporting web page, please select one of the following crimes: type of crimeSelect An OptionAlcoholArsonAssaultBurglaryChild AbuseDating Violence/Domestic ViolenceDrugsHate CrimeMurder/Non-negligent ManslaughterSex Offense ForcibleSex Offense Non-forcibleRobberyTheft/LarcenyStalking Do you believe this crime was motivated based on hate of a particular group or groups of people: Yes, this was a hate crimeNo, I don't believe it was a hate crime If yes please select the motivation of the crime: Languagepick one!Select An OptionReligionRaceGenderSexual OrientationEthnicity/National OriginDisability Where did the crime occur: Languagepick one!Select An OptionBattler Residence HallBenedum Residence HallBlue Residence HallBurbick HallColiseum/Rex Pyles ArenaErickson Alumni CenterFormer Broaddus HospitalFunkhouser AuditoriumGold Residence HallHamer Campus CenterHeiner Dining HallKemper-Redd Science CenterKincaid Residence HallMulti-Sport Performance StadiumMyers HallOn CampusOff CampusPickett LibraryPriestly Residence HallRestored Campbell SchoolUniversity Residence HallWhitescarver HallWilcox ChapelWithers-Brandon Hall If you selected a building on campus please provide a room number if able: Room number If you selected “on campus” or “off campus” please provide a description of the location of the incident: location description0 / When did the crime occur?If you are unable to provide an exact day and time please fill in what you can. Date of crime Perpetrator Information: How many people committed the crime during thisincident: # of perpetrators The person(s) responsible for committing this crime are: ABU StudentABU EmployeeOtherUnknown If possible please provide the person(s) name(s) and a description of the individual(s): (if you do not know the persons name please provide any identifying information if you are able) Perpetrator information/description0 / If you are able please provide a picture of theperpetrator(s). FileuploadUpload Reporter Information: Are you the victim of the crime? Yes, I am the victimNo, I am not the victim If no, were you a first hand witness to the crime? Yes, I am a first hand witnessNo, I did not witness the crime If you are able, please provide the name of the victim. Victim's Name If you are able, please provide a description of the incident. Incident details0 / Are you willing to be contacted by any of the following? Campus SafetyStudent AffairsCounseling ServicesPhilippi Police If you are willing to be contacted, please enter your infomation below. Full Name Phone number Email Submit Form Previous Next
