Type of Crime (choose from the pull-down list):  Drug Use/Selling Theft Rape Assault Disturbance Vandalism FalseAlarm Other

Description if "Other": 

Location (Building/Street name):

Details of location (i.e. room 227 Breard Hall):

Detailed information or comments (who, what, when, where, vehicle description; direction of flight ; items taken; etc…):

Number of individuals involved:  1 2 3 More than 3

Name(s) of individual(s) (if you know the name(s))

Description(s) of individual(s):

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