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Incident Report Form


Please provide detailed information that you are reporting involving a Saint Louis University (SLU) student . For all emergencies contact DPS at 314-977-3000. Please do not use this form to submit information regarding Faculty or Staff. For Faculty and Staff concerns, please report your concerns to the SLU Office of Compliance and Ethics.

Student records, including incident reports, are protected by FERPA (Family Educational Rights and Privacy Act), therefore any information regarding the outcome of this report will not be shared with you without the direct written consent of the student(s) involved. Any exception to this policy can be found in the Student Handbook.

Please use the following guidelines when completing the "Nature of the Report".

Community Standard Violation: alleged violation of the University's Community Standards (except Sexual Assault) (eg. Covid-19 non-compliance, underage drinking, drugs, inappropriate behavior, restricted items, etc.)

Behavioral/Emotional Concerns: Suicide Ideations, odd behavior, notification of depressed students, eating disorders, etc. Immediate threats of harm to self or others is an emergency and should be directed to the Department of Public Safety at 314-977-3000. The Behavioral Concerns Policies and Procedures can be found in the Student Handbook. 

Bias Related Incident: behavior exhibited toward a student based because of the actual or perceived race, color, religion, national origin, gender, sexual orientation, gender identity, or disability. The Bias Incident Response Protocol can be found in the Student Handbook. 

Care and Concern: Student has been injured, has an illness or a death in the family.

Mediation: Two or more students are requesting a trained professional staff member to sit down with them to facilitate a conversation between the students resulting in conflict resolution.

Title IX Referrals: This report is used to refer any kind of sexual harassment, sexual assault, dating violence, domestic violence, stalking, or any other matter to be referred to the Title IX Coordinator. The University's Title IX Sexual Harassment Policy can be found in the Student Handbook. 

Other: Used to document a report that does not meet any other criteria listed above.

If you have any questions regarding filing an Incident Report, please contact the Office of Student Responsibility and Community Standards at 314-977-7326.

Background Information

 
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List the specific floor & room number (location) of the incident beyond the name of the building.

Involved Parties

Please list the individuals involved (excluding yourself or staff members), including as many of the listed fields as you can provide. For non-students, please use the person's last name and then first name up to 9 characters. Example: John Smith's SID would be SMITHJOHN If submitting a report regarding damage to a building, input the name of the building in Name or Organization and input the name of the building in the Banner ID. Example: Wuller Hall's SID would be WULLER.

Involved party 1

Description/Narrative

(WHO, WHAT, WHEN, WHERE, WHY, and/or HOW ) Please describe in as much detail as possible the specific incident that occurred. Avoid using pronouns, i.e., he, she, etc. to identify people. Use the person's real name when known in your description otherwise give the name you know the person by. Indicate specific words, phrases, interaction, and behavior. Give dates and times. If a subject used profanity, made threats, or spoke of harming him/herself, indicate specific words/phrases used. If a student was loud or disruptive, indicate behaviors associated with the disruption, and describe any injury or damage to a person(s) or property. If this is a student behavioral or emotional concern, please describe the student's behavior that has prompted this report. Include name(s) of campus personnel you contacted and actions taken, if any.

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Select any of the following that apply:(Required)
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Was alcohol involved?
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Were drugs involved?
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What other departments have been notified?
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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.

Submission