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Community Concerns Report

IF THERE IS IMMEDIATE RISK TO LIFE OR PROPERTY
Call 911 then 303-871-3000
(1-3000, if calling from a campus phone)

Thank you for bringing this concern to our attention. We value our neighbors and community partners. Your concern will be directed to the appropriate DU Administrator. Due to Federal privacy laws, DU may not be able to share with you the outcomes of this report; but please know we are following our processes and taking appropriate action. Thank you for your care for our students and community.

Please complete the following Incident Report with the information you have available.

Thank you!

Background Information

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Your full name:

Your position/title:

Your phone number:

Your email address:

Email address must be of a valid format.

Your physical address:

Date of incident(Required):

This field is required.

Time of incident:

Specific location:

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Address or area of incident

Involved Parties

Please list the individuals involved (excluding yourself). Please include as much information as available to you.

**If you do not know the name of the involved parties, please use UNKNOWN as the name and supply a description later in the form**

Involved party 1

Name or Organization

Address

Report Information

Please describe the concern; providing as many details as possible.(Required) This field is required.

Was Denver Police Department notified?

Yes No Unsure

This field is required.

If Denver Police Department was notified, was a complaint signed or an arrest made?

Yes No Unsure

This field is required.

Was DU's Campus Safety notified?

Yes No Unsure

This field is required.

Was there an EMS transport?

Yes No Unsure

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.

Submission

Email me a copy of this report