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Your Information

This is the contact information for the person filling out this form.
Your name
Leave blank if reporting anonymously. Note that anonymous reports are more difficult for Campus Safety to follow up on.
Email
Address
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Time of incident
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Choose the location closest to where the incident occurred
Include room numbers if applicable. Be as specific as you can.

Involved Parties

Please list the individuals involved (excluding yourself), including as many of the listed fields as you can provide. For non-students, please list an SSN or Drivers License number in the block labeled "TC A# (or other ID Number)" if available. Use the "+" button at the end of this section to add more involved parties
Name or Organization (Last, First for names) Select Gender Select Role TC A# (or other ID Number) DOB Phone Email Address Actions
               

Detailed Description

Please provide a detailed description of the incident/concern using specific concise, objective language (Who, what, where, when, why, and how).

Questions

What is your relationship with Taft College?*

Has the Taft Police Department been notified?*

What is the primary concern for this report?

Supporting Documentation

Photos, .pdf, MS Word, and certain other supporting document types may be attached below. 80 MB maximum total size. Attachments require time to upload, so please be patient after submitting this form.
Drop files here or
Accepted file types: jpg, gif, png, pdf, docx, doc, jpeg, xls, xlsx, txt, Max. file size: 80 MB, Max. files: 4.
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