Campus Security Report Form

Under the Clery Act, a crime is "reported" when it is brought to the attention of a campus security authority, the institution’s police department or campus safety office, or local law enforcement personnel by a victim, witness, other third party or even the offender. It doesn’t matter whether or not the individuals involved in the crime, or reporting the crime, are associated with the institution. If a campus security authority receives a report, he or she must include it as a crime report using whatever procedure has been specified by your institution.

"Campus security authority" is a Clery Act-specific term that encompasses four groups of individuals and organizations associated with an institution.

  1. A university police department or a campus security department of an institution. If your institution has a university police or security department, all individuals who work for that department are campus security authorities. A security department can be as small as one person. (More about this in Chapter 5.)
  2. Any individual or individuals who have responsibility for campus security but who do not constitute a university police department or a campus security department (e.g., an individual who is responsible for monitoring the entrance into institutional property). Include individuals such as those who provide security at a campus parking kiosk, monitor access into a campus facility, act as event security, such as for sporting events or large, registered parties, or escort students around campus after dark (including other students).
  3. Any individual or organization specified in an institution’s statement of campus security policy as an individual or organization to which students and employees should report criminal offenses. As mentioned in Chapter 1, your institution must publish a number of safety- and security-related policy statements. (These are discussed in Chapters 7 and 8.) If you direct the campus community to report criminal incidents to anyone or any organization in addition to police or security-related personnel, that individual or organization is a campus security authority.
  4. An official of an institution who has significant responsibility for student and campus activities, including, but not limited to, student housing, student discipline and campus judicial proceedings. An official any person who has the authority and the duty to take action or respond to particular issues on behalf of the institution.

If you are a Clery defined Campus Security Authority and need to report an incident, download the reporting form (pdf) . This form is fillable and once completed, save it, and email it to

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