CSA Incident Report Form (Clery Only)

If you need immediate assistance, please contact the Office of Public Safety at 304-704-9111 or the Title IX Coordinator at 304-637-1277.

If it is an emergency, dial 911.

Use this form to only report Clery violations/criminal offences. To report a non-Clery incident, click here

CSA Contact Information
Dates
Enter a specific date, a date range or UNKNOWN if the date is unknown.
Enter a specific time, a time range or UNKNOWN if the time is unknown.
Enter the date the incident was reported to you.
Incident Description
Click here to view detailed crime definitions.
Check all that apply.
Reporter
Location of Crime
What best describes the location of the crime? Be as specific as possible: An address, building or business name, office/room number, intersections, etc.
Hate Crimes
Is there evidence that this crime was motivated by hate or bias?
Victim Advocate
An on-call victim advocate can be contacted 24/7 including after hours, weekends and holidays by calling Women's Aid in Crisis at 1-800-339-1185.