Step 1CSA Incident Report
Step 2Confirm Report
Step 3Finished
Date Reported to CSA (You) mm/dd/yyyy format
Was This Reported to Law Enforcement? Please select... Yes No Unknown
Which Agency? Please select... Baylor University Police Department (BUPD) McLennan County Sherrif's Office (SO) Texas Alcoholic Beverage Commission (TABC) Waco Police Department (WPD) Other
If Other, Agency Name
Case NumberIf known
Officer NameIf known
CSA First Name
CSA Last Name
CSA Email
CSA Phone
Type of Drug/Narcotic Violation Please select... Arrest Disciplinary Referral
Type of Liquor Violation Please select... Arrest Disciplinary Referral
Type of Weapons Violation Please select... Arrest Disciplinary Referral
Description of Crime or Incident Describe the crime, including pertinent information like drugs, alcohol, narcotics and weapons.
Is There Evidence This Crime Was Motivated by Bias?Was the victim targeted by prejudice? Please select... Yes No
Evidence of Bias Enter a brief summary of the evidence
Campus Please select... Main Waco Campus Off Campus Incidents Austin - EMBA Dallas - EMBA Dallas - School of Nursing Houston - School of Social Work New York City - Baylor in New York Waco - School of Social Work Other (including foreign locations)
Other LocationIf you selected Other, please provide more information about the location
Location Category Please select... Non-campus property On-campus, excluding residential life On-campus, residential life buildings Public property Unknown
Address of Incident Address or description of location. Be as specific as possible.
Do You Know When the Incident Happened? Please select... Yes No
Date of Incident mm/dd/yyyy
Time of Incident hh:mm am/pm
Who Reported This to You? Please select... Victim Witness Suspect Other
Have They Requested Confidentiality? Please select... No Yes
Name of Person Reporting Incident to You
Phone of Person Reporting Incident to Youleave blank if unknown