Oklahoma State University - Tulsa
Oklahoma State University - Tulsa

Incident Report

Please provide detailed information regarding the incident you are reporting.

Choose General incident report for concerns or actions that are experienced or observed and present a danger to an individual or the OSU-Tulsa community.

Choose Academic Integrity report for incidents involving violations of the OSU Academic Integrity policy.

*Nature of this report
*Urgency of this report
Your full name:
Your CWID:
Your eight digit Campus Wide Identification number can be found on your official OSU ID or by logging in to OKEY.
Your position/title:
Your phone number:
Your email address:
Your physical address:
City:
State:
Zip:
*Date of incident (MM-DD-YYYY):
Time of incident:
*Location of incident
Specific location:

Involved Parties

Please list the individuals involved (excluding yourself), including full names, organization, gender, CWID if known and any contact information. Also, please indicate whether each person's role in the incident: alleged, victim, witness or student of concern.

Description/Narrative

Please provide a detailed description of the incident/concern using specific, concise and objective language (who, what, where, when, why and how).

Provide any police report number associated with this incident (if applicable):

The Student Code of Conduct requires that complaints and incident reports be signed by the person submitting the report. If you are an Oklahoma State University student, staff, or faculty member, your Campus Wide Identification Number (CWID) will be used to authenticate your identity and will be accepted as an electronic signature on this incident report. If you are not affiliated with the university, please submit this report without entering a CWID, then submit a signed copy to OSU-Tulsa Student Conduct, 700 North Greenwood Avenue, North Hall 204, Tulsa, OK 74106 or contact Student Conduct at 918-594-8234 to confirm your identity and lend more credence to this report.


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