Loyola’s Campus Security Authorities (CSA) Reporting Form

Fields marked with an * are required.

General Information

First name:

Last name:

Email address:

Phone number:

Do you have any crimes to report that were not reported to either campus police or student life for the year of 2018, January 1st - December 31st?

Crime Report (If Applicable)

Was this incident motivated by hate or bias?

Type of bias:

Type of offense:

Hate crime additional categories:

Location of incident (building name or address):

Date of incident:

Time occurred:

Brief description of the incident:

Did the crime occur in a building or on the street?

In a building
On the street

Did the crime occur on a University owned, controlled, or leased property?

Yes
No

Did the crime occur at a University sponsored activity or event?

Yes
No

Was this offense reported to campus police?

Yes
No

Public Safety