Crime Report

Members of the campus community are encouraged to report any crime that occurs on campus which may violate the Standards of Student Conduct or other College Policy. This form is for internal FRC use. All crimes should also be reported directly to the Plumas County Sherriff's Department.

Name (if known) of individuals suspected of committing the crime Name (if known) of individuals suspected of committing the crime First Last
Description of person (if name is not known)
Date of Incident Date of Incident / MM / DD YYYY
Time of Incident Time of Incident : HH MM AM/PM
Where did the incident occur?
Give the building name and room number or other location if possible.
Description of incident, check all that apply.

Description of incident, check all that apply. Theft Trespassing or Unauthorized Entry Violation of Weapons/Firearms Policy Under the Influence of a Controlled Substance/Alcohol Vandalism Other Other
Please describe details of the incident, including facts, witnesses, specific behaviors exhibited and/or actions
Attach any additional documents that might apply to the incident described above.

Attach Files
Name of person filing this report Name of person filing this report First Last
Phone:
Email
Today's Date Today's Date / MM / DD YYYY
Draw your signature into the box below.

Draw or Type

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Full Name

I understand this is a legal representation of my signature.
Please indicate your association to campus

Please indicate your association to campus Employee Student Visitor