CSA Report Form

The Clery Act applies to certain crimes reported to the police and other University officials known as Campus Security Authorities (CSA). CSA’s are federally mandated crime reporters. As such, CSA’s shall report, on a timely basis, any qualifying crimes that they are made aware of to the OU Police Department. OU Police will use the submitted information to verify the appropriate classification of the crime. It is important for CSAs to document sufficient incident detail to allow OU Police to properly classify the crime type.

Clery Definitions

CSA Name:*
CSA Department:*
CSA E-mail:*
CSA Phone:
Date Reported to CSA:*
Has this incident been reported to another office?*

This information is for OU Police use. Please provide all information requested in this form even if you know that the incident has been reported to another office.

If yes, please specify:*
If other, please specify:*
Does the victim wish to remain anonymous?*
Victim Name:
Victim Phone:
Do you know the date of the crime?*
Date Occurred:*
Description of Incident:*
Location of Incident*
Did the crime occur in a building or on the street?*
Did the crime occur on (Institution) owned, controlled, or leased property?*
Did the crime occur at a University-sponsored activity or event?*
Group A Offenses
Sex Offenses
Hate Crimes
Other Offenses
Word Verification: