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Type of Incident:
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If "Other", please specify:
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When did it occur?
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Date/Time of occurrence:
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Where did it occur?
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Location
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If incident occurred on campus, please specify.
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Specific Location:
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Perpetrator Details
Whether you know or don't know the identity of the perpetrator, please fill out as much accurate information below as possible.
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Perpetrator:
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Name
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Race
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Sex
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Complexion
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Height
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Weight
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Age
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If perpetrator is unknown, please describe as best as possible:
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Was anyone else involved?
Other witnesses? (please list full names):
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If "Yes", please describe:
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Incident Description
To the best of your ability, please describe the incident in full detail:
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Incident Details:
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Contact Information (Optional)
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May we contact you?
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Name:
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Phone Number:
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Email Address:
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*DISCLAIMER: All information submitted is for the use of the Morgan State University Campus Police Department ONLY, and will not be given/sold to any affiliates. Your contact information will strictly be used for MSU Campus Police to contact you and gain further information about the incident. You will not be held responsible for any reason when/if you report an incident to the MSU Campus Police Department.
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