Crime Statistics Report Form - Police

Complete the form below to report a crime at IU South Bend.

Fields marked with an asterisk (*) are required.

Reporting Person *
Classification (See definitions) *
Phone * - Area Code - Prefix Line Number
Time of Incident * : HH MM AM/PM
Location of Incident *
Date of Incident * / MM / DD YYYY
Brief Description of Incident *
Check the appropriate answer to the following questions:
Did the crime occur in a building (B) or on the street (S)? B S Don't Know
Did the crime occur on IU South Bend owned, controlled or leased property? Yes No Don't Know
Did the crime occur at a University-sponsored activity or event? Yes No Don't Know
Was the crime reported to the IU Police Department? Yes No Don't Know