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Campus Security Authority Crime Reporting Form
Campus Security Authority Crime Reporting Form
Use this form to report crimes or to complete your CSA annual reporting requirement
Campus Security Authority Name
*
Required
First
Last
Campus Security Authority Phone Number
*
Required
Campus Security Authority Email Address
*
Required
For Annual Clery Reporting Only*
I have no new crimes to report
============================================================
Date the incident was reported to you
- must be mm/dd/yyyy format
MM slash DD slash YYYY
Date the incident occurred (approx)
- must be mm/dd/yyyy format
MM slash DD slash YYYY
Time the incident occurred
:
Hours
Minutes
AM/PM
AM
PM
AM/PM
AM/PM
Please write a description of the crime
Victim personal identifier
If victim wants to remain anonymous, please do not fill this section out. For tracking purposes and to avoid double counting incidents, please include a victim identifier such as their first, middle and last name, or their initials. This information will not be published in any campus safety alerts or crime statistics.
Location of Crime
If known, provide specific occurrence location (building name, street address, etc.)
What best describes the location of the crime?
On-campus, not in a residence hall
On-campus, residence hall
On-campus, fraternity/sorority housing
Off-campus, public property immediately adjacent to campus (sidewalks, streets, etc)
Off-campus in University owned or controlled space
Off-campus, not affiliated with Boise State and not adjacent to campus
Unknown location
If the crime occurred in multiple places, check all that apply
If you are reporting a crime of violence or threat of violence, are the victim and the accused in a social relationship of a romantic or intimate nature or have they ever been (i.e. dating, seeing one another)?
Yes
No
Victim/Suspect relationship
Partner
Ex-Partner
Spouse
Ex-Spouse
Family Member
Other
Category that best fits the description of the crime.
Murder/Non-Negligent Manslaughter
Manslaughter by Negligence
Rape
Fondling
Incest
Statutory Rape
Robbery
Aggravated Assault
Burglary
Motor Vehicle Theft
Arson
Weapon Law Violation
Drug Law Violation
Liquor Law Violation
Dating Violence
Domestic Violence
Stalking
Other
Hate Crimes Only
Larceny
Vandalism
Intimidation
Simple Assault
Boise State University is also required to report statistics for hale (bias) related crimes by the type of bias as defined above for the following classifications: murder/non-negligent manslaughter, negligent manslaughter, sex offenses (forcible and non-forcible), robbery, aggravated assault, burglary, motor vehicle theft, arson, dating violence, domestic violence, and stalking (see definitions above) and larceny, vandalism, intimidation, and simple assault (see definitions below).
Is there evidence that this crime was motivated by bias?
Yes
No
If you answered "Yes" to the above question, identify the potential category of prejudice (check all that apply):
Race
National Origin
Religion
Sexual Orientation
Ethnicity
Disability
Gender
Gender Identity
Please describe the evidence that this crime was motivated by bias.
If you have reported this incident to any other department or agency, please specify which one(s).
Supporting Documentation
Drop files here or
Select files
Max. file size: 12 MB.
Photos, video, email, and other supporting documents may be attached here by dragging and dropping them into the box above or by uploading them by clicking on the "Select Files" box.
Maximum file size - 12 mega bytes.
Clery Crime Definitions