University student reporting an incident form 2025

1. Click ‘Get Form’ to open the university student reporting an incident form in the editor.
2. Begin by entering your full name and government-issued ID number in the designated fields. Ensure that all information is typed clearly.
3. Fill in your date of birth and gender by selecting the appropriate option. Provide both local and permanent addresses along with your home and work phone numbers.
4. Indicate whether you are a UTD student or visitor by checking the corresponding box. If you are a student, please include your major of study.
5. In the 'Information About the Incident' section, enter the date and time of the incident. Specify if police were notified and provide any case number if applicable.
6. Describe the location of the incident and provide a detailed account of what happened, including any factors leading to it. Attach additional sheets if necessary.
7. If there were witnesses, indicate this and attach their contact information on a separate sheet. Describe any injuries sustained and whether medical treatment was provided.
8. Finally, sign and date the form. If you are not the injured party, print your name and job title before submitting it to the specified office address.

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