Campus Safety Office - Online/Offline Reporting Forms

Online Reporting Forms

Citizen Compliment and Complaint Form
Confidential Stop Violence On Campus Form

Confidential Sexual Assault Form

Crime Report Form
Suggestion Form

 

Offline Reporting Forms

Doc = (WORD Document) (Save to your desk top as a new WORD Document to use on your PC for printing and then hand writing on or typing on and then printing)
Doc - Injury and Illness Report Form (Print out then hand write and sign.)
Doc - Statement Form for handwriting (Print out then hand write and sign.)
NOTE: Form for typing below has font set at 14 in the blank boxes.  This may be adjusted to allow information to fit inside the boxes without sending a part of the document onto the next page.
Doc - Statement Form for typing (Type in information then print out and sign.)
Doc - Record of Valuable Personal Items  (Use with serial numbers, digital photo's, and/or engraver available at the Campus Safety Office in the Rothwell Student Center  Room#53)

 

SEXUAL ASSAULT:

Doc - Should I Report an Assault? Letter

Doc - Sexual Assault Report Proxy Form  (WORD Document)

 

VEHICLE ACCIDENT:

Wisconsin DMV - Vehicle Accident Reporting and Report Form MV4002

 

SPECIAL REQUEST:

Doc - Weapons/Animals Request (WORD Document) If you wish to have any type of weapon or animal on campus for a class project or show please fill out one of these forms and route it to us prior to the event.  Long term weapon storage is done at the Shooting Sports Range in Old Main in a locker in their weapon storage room.  (Chad Danielson - Coordinator, 394-5089)

Doc - Afterhours Pass Request Form 1 (WORD Document) Must be completed and sent to Officer Bodin and/or Officer Danielson via email attachment by a faculty member or their staff representative to be honored.

Doc - Bicycle Registration Form (WORD Document) Fill out the information and download a digital picture of your bicycle into the form in the space provided.  Please shrink the picture down to about a 2" x 2" size.  Send the completed form to mbodin@uwsuper.edu then stop by our office (RSC-53) to receive your sticker when you receive an email reply that it is ready.  You may also ask to have your sticker put into your Campus Mail Box when it is ready instead of stopping by.  The sticker should be placed somewhere on the main frame between the seat and peddles.  You may still stop by our office (RSC-53) with your bicycle to have a picture taken of your bicycle and fill out the registration form to receive your sticker if you wish to.  All Dormitory residents are required to have their bicycles registered with Campus Safety while they are on campus.  Please remember to always lock your bicycle up to a bicycle rack while on campus.  If you leave campus please remember to always lock your bicycle up if you leave it anywhere for any amount of time.  People have been known to steal them if they are not locked up.  

Doc - Annual Security Report Availability Notice (WORD Document) Notice that our annual Security Report is available on our web site or by asking for a copy by calling (715)394-8461 or emailing mwallin@uwsuper.edu.

 

About Us | Contact Us | Copyright © The Board of Regents of the University of Wisconsin System
Last modified: Thursday July 17 2008
Email:Webmaster