Loyola’s Campus Security Authorities (CSA) Reporting Form

Please don't fill out this input box.

General Information:

First Name:*

Last Name:*

Email Address:*

Phone Number:*

Do you have any crimes to report that were not reported to either campus police or student life for the year of 2018, January 1st - December 31st?*

Crime Report (If Applicable):

Was this incident motivated by hate or bias?

Type of bias:

Type of offense:

Hate crime additional categories:

Location of incident (building name or address):

Date of incident:

Time occurred:

Brief description of the incident:

Did the crime occur in a building or on the street?

In a building

On the street

Did the crime occur on a University owned, controlled, or leased property?

Yes

Did the crime occur at a University sponsored activity or event?

Yes

Was this offense reported to campus police?

Yes

Contact Information

Emergencies
410-617-5911

Non-Emergencies
410-617-5010

Sexual Violence Resource Coordinator
410-617-6769 (Confidential)

After Hours Emergency Counselor
410-617-5530

National Suicide & Crisis Lifeline
Dial or Text 988 toll-free

Weather Line
410-617-2223