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Incident Reporting Form

To report an issue of immediate concern to an individual’s safety or the campus’s safety, first call 911 or Public Safety at 706-252-4813 and then fill out this report.

Please provide as much detailed information regarding the incident as possible.

Your Background Information

Incident Description

Incident Date/Time
Did Public Safety respond to the incident?

Involved Parties

Please list the individuals involved, including as much information as possible.