Incident Reporting Form

This form is an opportunity for you to provide information concerning alleged policy infractions, common area damages, problems or concerns. This information will only be used to initiate an investigation or as supporting evidence in a current investigation. Your honest response is appreciated. If you have further questions or concerns, please contact the Student Affairs Office at 316.295.5779.

Friends University Incident Report Form
Alleged Incident Specifics
:
Alleged Individuals Involved
Details of Involved Person 1
Details of Involved Person 2
Details of Involved Person 3
Details of Involved Person 4
Details of Involved Person 5
If more individuals were involved in the incident, please fill in the involved individual details below.
YesNo
May we contact you for further information?
If yes, please fill in below details.