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Silent Witness

Silent Witness
Please include as much information as possible in the form below. Incomplete or inaccurate information will delay processing of this report and may compromise our ability to quickly and effectively respond to this complaint. Thank you.
Type of incident reporting:

Campus area where incident occurred (please be as accurate as possible):

Date and time incident was observed:

Suspect(s) name, if known:

Please give information about the victim or victim's property if known and applicable

Victim(s) name, if known:

If the incident involved a vehicle, please give a description.

Color & Model:
(include car/truck/SVU/minivan, etc:):

License - State & Number:

Please complete as much of the following information as possible
if the suspect name is not known.

Gender:

Age/Age range:

Race:

Height:

Weight:

Frame:

Hair: (Color & length)

Distinguishing features
(complexion, facial hair, glasses, tattoos, scars, etc.)
Describe as many as possible.

Clothing:

This form may be submitted anonymously or you may include your name for a Campus Safety Officer to contact you for further information (all information will be kept confidential). All incidents will be investigated thoroughly whether signed or unsigned. Unsigned reports are completely anonymous.
Name (Optional):

    

Thank you for taking the time to submit this information and helping to make Culver-Stockton safer! If you would like to provide further information or speak with a Campus Safety Officer about the incident, please call (573) 288-6300


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