Incident Reporting Form
If this is an emergency that involves an imminent risk of harm to
self or others, please contact campus police at: 912-287-4027 or
dial 911 prior to filling out this referral form.
Please provide responses to all the fields below.
Nature of Report:
Were you personally threatened?
Did you feel threatened at the time?
Do you currently feel threatened?
Did you see others threatened?
Date and Time of Incident:
Location of Incident: