TCC Campus Security Authority Incident Report Form

Clery Act Reporting Form:

For use by Campus Security Authorities (CSAs) and those who wish to report Clery Act crimes on a voluntary, confidential basis for inclusion in the annual disclosure of crime statistics.

If this incident has the potential to be an imminent or ongoing threat to the community, do not fill out this form. Instead, call TCCPD at (918) 595-8888 or 911.

CSA Contact Information (Required only of CSAs)

First Name

Last Name

Phone Number

Email Address

Campus/site where incident occurred. (Required)

Metro
Northeast
Southeast
West
Riverside Community Campus and Aviation Center
Other locations (include Education Outreach Center and Arvest Tower)

Incident Address:
If known, provide specific occurrence location (building name, street address, office number, etc.).