Campus Security Authority Incident Report

NOTE:  For immediate assistance, call the police or emergency services directly at 911.

The College Security Authority Incident Reporting Form generates a report that is normally reviewed during business hours and should not be used if you need an immediate response. The link and report form is intended for the sole use of those persons designated as campus security authorities (CSA) at and for Empire State College as required under the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act (Clery Act) codified as 20 USC 1092 (f) as a part of the Higher Education Act of 1965. All reports made through this form will be confirmed by contacting the campus security authorities  reporting the incident.

The college designates certain individuals as campus security authorities.

This link and report form is to be used when a CSA has received information regarding an incident that he or she believes to be a reportable offense under the Clery Act, and when the victim does not wish to report the incident to the police. Please complete all of the fields to provide the college with the best opportunity to respond to this incident.

Information on the reporting requirements may be found in the Handbook for Campus Crime Reporting (PDF 2,143kB) . Information specific to the duties of campus security authorities may be found in chapter 4 of the handbook (beginning on page 49).

NOTE: You will need Adobe Acrobat Reader to read PDF files. If you are unable to use the PDF file, please contact the Office of Safety and Security for help.

In all cases, the person reporting the incident to the CSA may choose to withhold his or her identity.