Incident Report • CampusOptics

Fill out this form in the event that an incident has occurred, especially if there is harm to an individual or property damage.

Please include as much detail as possible. If a field does not apply, fill N/A.

If the incident occurred off campus, select your campus as the "Location" and put the specific off-campus location under "Additional Location Details."

If you wish to submit a report detailing a close call or the prevention of a future incident, see the Safety Concern form: https://twu.campusoptics.com/s/Safety_Concern

Versión en Español: Reporte Del Incidente

Reporter Info

Email* Required

Phone Number* Required

First Name* Required

Last Name* Required

Location

Campus, Building, or Outdoor Area* Required

Additional Location Details

Exact Location

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General Information

What is your affiliation with TWU?* Required

Are you reporting this incident for someone else? If yes, what is their name and affiliation with the university?

Describe the incident* Required

Date of Incident* Required

Time of Incident* Required

Injury/Illness

Describe any injuries/illnesses that occurred.

Property Damage

Describe any property damage that occurred.

Add Supporting Documents

Add files to upload as supporting documentation along with your incident report.