Reporting Form

Reporter Information

If you wish to remain ananoymous, type
If you are a faculty/staff member, please include your title. If you are not, type
MM slash DD slash YYYY
Time of Incident:
Where did the incident you are reporting occur?
Is there anything else we should know about the location?

Involved Parties


Based on the description you provided, please check any behaviors below that have led you to be concerned about the individual involved (optional).
I understand that referrals from this form will be received during normal business hours (Monday-Thursday, 7:45 AM - 5:00 PM, and Friday, 7:45 AM - Noon) and are not monitored after hours, on weekends, or during official Louisiana Christian University holidays. Please contact campus security at 318-487-7233 or 318-308-6505 if there is an immediate risk of harm to self or others prior to submitting this form.(Required)

Supporting Documentation

Max. file size: 512 MB.