The “Anonymous Reporting” form is provided to permit people to report crimes or “incidents of concern”, which are incidents that affect or may affect the health, safety or welfare of William Paterson University’s students, employees or its guests. If you know of a crime or incident of concern that has occurred, or that is occurring, or that may occur on campus, please report it to us.

Do not use this form to report an incident or crime which requires immediate response from the University Police. In these situations please call 973.720.2300.

To report a crime or an incident of concern, kindly complete this questionnaire and submit it by e-mail to the Department of Public Safety.

Please note: You are completing the following questionnaire under a condition of anonymity. If you would like us to contact you, please complete the "Contact Information" section at the bottom of the page. All information is kept confidential.

QUESTIONNAIRE

What type of crime/incident are you reporting?

alcohol
assault
bias crime
computer related crime
domestic violence
drugs: posession use distribution
other(please specify)

When did the crime occur?

Date: Approximate time:

Where did the crime occur, on or off campus at William Paterson University?

On Campus Off Campus

If on campus, identify in which building or in what area on the campus this occured . If off campus
identify address, or if unknown, nearest landmark.

Describe the location where the crime occurred: e.g. in parking lot two near traffic booth.

Explain why you believe a crime or an incident of concern has or will happen.

Identify the actor or actors. Please supply any information you know. Such as the person's name, address, or telephone number or physical description of actor or place where you seen the person in the past or vehicle in which you have observed the person or names of other persons with whom you have seen the person.

Identify the actor’s relationship with the University.

OPTIONAL

Name:
Address:
Campus address:
Telephone number:
E-mail address
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