CSA - Crime Reporting FormPlease use this form to report any Clery Act crimes that have already occurred. Please do not use this form to report an active threat/emergency.You must have JavaScript enabled to use this form.Indicates required field Full NameEmail AddressRole / Position TitleAre you reporting a Clery Act crime? Yes No UnsureWhat date did the crime occur?Where did this Clery Act Crime occur?Please be as specific as possible, including the physical address if you are able to.What Clery Act crime occurred? Murder & Non-Negligent Manslaughter Negligent Manslaughter Robbery Aggravated Assault Burglary Motor Vehicle Theft Arson Larceny-Theft Simple Assault Intimidation Destruction, Damage, or Vandalism of Property Domestic Violence Dating Violence Stalking Sexual Assault Rape Statutory Rape Fondling Incest Liquor Law Violation Drug Law Violation Weapon Law ViolationPlease select all relevant crimes you believe to have occurred.Please thoroughly describe the details of the Clery Act crimeYou may ask yourself the following questions when writing your report to be as specific as possible: (Who, What, Where, When, Why, How) * Please note: Victims may maintain confidentiality; CSAs cannotWhen was this Clery Act crime reported to you?Was this Clery Act crime reported to other units? Yes No UnsureOther units may include: CU Boulder Police Department, Office of Student Conduct & Case Resolution, Student Support & Case Management, Office of Institutional Equity & Compliance?
