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Attachment B Clergy Incident Report Form Date: Name×Title of Person Receiving Report:, (Please print) Campus Phone Number of Person Receiving Report: Information received from: Victim name please
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How to fill out clery bincident reportb form
How to fill out a Clery incident report form:
01
Start by gathering all the necessary information related to the incident. This includes the date, time, and location of the incident, as well as a detailed description of what occurred.
02
Identify the individuals involved in the incident. This could include victims, witnesses, and perpetrators. Provide their names, contact information, and any other relevant details.
03
Clearly specify the type of incident that occurred. This could range from sexual assault, burglary, hate crime, or any other crime that falls under Clery Act guidelines.
04
If applicable, provide information on any injuries sustained during the incident. Include details on the severity of the injuries, any medical treatment received, and the current condition of the individuals involved.
05
Next, provide information on any property damage that occurred as a result of the incident. This could include vandalism, theft, or destruction of property.
06
Provide any additional details that may be relevant to the incident. This could include any evidence or supporting documentation, such as photographs, videos, or audio recordings.
07
Once all the necessary information has been filled out, review the form for accuracy and completeness. Make sure all required fields have been addressed and any supporting documents have been attached.
08
Finally, sign and date the incident report form. This signifies that the information provided is true and accurate to the best of your knowledge.
Who needs a Clery incident report form?
The Clery incident report form is typically required by educational institutions that receive federal financial aid. According to the Clery Act, any institution that participates in federal aid programs must maintain accurate and timely records of all crimes reported on or near campus. This includes universities, colleges, and other post-secondary institutions. The purpose of the Clery incident report form is to gather data on campus crimes and provide transparency to the public, allowing students and faculty to make informed decisions regarding their safety on campus.
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