Public Incident Report

Please complete all fields as required on the form below.

Reports indicating a potential violation under the Relationship Violence and Sexual Misconduct Policy will also be forwarded to the MSU Police Department to fulfill mandatory reporting requirements. The MSU Police Department will review cases during business hours.

Reports are not monitored outside of business hours. Emergencies and time-sensitive incidents should be reported to the police immediately by calling 911. The MSU Police Department's non-emergency phone number is 517-355-2221.

If you are an MSU medical provider, do not include protected health information with your report; OIE will follow up with you to obtain the necessary documentation.

If you need assistance completing this form or encounter accessibility problems with the online form, please call the Office of Institutional Equity at 517-353-3922 for assistance.

Identify yourself ZZZ

Are you submitting this as a mandatory report?

Reporter's Name While reporters can submit reports anonymously, we encourage reporters to provide contact information in case more details are needed.

Reporter's Email

Reporter's Phone

Date of Incident If date is unknown, please provide an estimated date.

Select if the date is unknown

Select if the date is on-going

Involved Individual(s) Please list individuals that are involved in the incident you are reporting.

Location of Incident Please briefly describe where the incident happened

Incident Description Please describe what occurred.

Attach file