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Incident Report Form


Knox College is committed to providing a safe, secure, and respectful campus environment for our students, faculty, staff, and visitors. To support that goal, this Incident Report Form provides a method of sharing information with College personnel. You may also include your name and/or contact information if you choose to do so.

If this report is regarding a bias incident, please submit a Bias Report Form. 

This form is NOT intended for in-progress incidents. If you are currently witnessing an incident, please call Campus Safety at 309-341-7979.

If you know of an incident that has occurred on campus, we would like you to report it. Please fill out the form below. This information will be submitted to the Associate Dean of the College, Dean of Students, Director of Campus Safety, Director of Human Resources, and Title IX Coordinator.


Incident Information

If date, time and location are unknown, please approximate the date, time and location of the incident.

 
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When did the incident occur? (approximate date and time of the incident)
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Please specify the exact location that the incident took place

Involved Parties

Please enter the name(s) of individuals and/or departments, student groups/organizations, etc., involved in the situation. Please include unique name(s) and/or Knox ID, if available.

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Incident Details

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My relationship to the incident (optional):
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Relationship to the College (optional):
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How would you prefer to be contacted? (optional)
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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission