Reporting Allegations of Student Misconduct

Background Information

Enable additional features by logging in.

Your full name:

Learn more

Or, you may write Anonymous

Your position/title:

Your phone number:

Your email address:

Email address must be of a valid format.

Your campus/local address:

Nature of this report(Required):

This field is required.

Date of incident(Required):

This field is required.

Time of incident:

Location of incident(Required):

This field is required.

Specific location:

Involved Parties

List all of the individuals involved, including as many of the listed fields as you can provide. All parties involved should also have specific information about their involvement included in the description/narrative.

For non-students: enter their first and last name (no space) as their ID number, their DOB (if available), and if they are a student at a different university, enter it as their Hall/Address.

Full Name

Select Gender

Select Role

Student ID Number (no dashes)

DOB (YYYY-MM-DD)

Phone number

Email address

Hall/Address

Incident Description

Report number (e.g. police report number, number for existing report with another office) This field is required.

Please provide a detailed description of the incident/concern using specific concise, objective language (Who, what, where, when, why, and how). If you have any documentation (e.g., emails, photos, documents, etc.), you can attach them below under Supporting Documentation.(Required) This field is required.

If you are a Campus Security Authority (https://www.police.psu.edu/campus-security-authorities), you may be required to also report this incident to University Police via the CSA Incident Report Form so they can assess the risk to the public. Have you reviewed your CSA obligations in relation to this incident?(Required)

I am not a CSA I am a CSA and I have already reported this as a potential Clery crime I am a CSA and I will report this as a potential Clery crime I am a CSA and I will not report this as a potential Clery crime

This field is required.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Email me a copy of this report

Background Information

Involved Parties

Incident Description

Supporting Documentation

Submission