Fillable Campus Security Authority Crime Incident Reporting Form (University of West Florida)

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Campus Security Authority Crime Incident Reporting Form (University of West Florida)

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Did the crime occur in a building or on the street? _____Building _____Street
Did the crime occur on University owned, controlled or leased property? _____Yes _____ No
Did the crime occur at a University sponsored activity or event? _____Yes _____ No
Complete the following information if the crime reported to you was hate (bias) related:
Type of Bias:
DEFINITIONS
The University of West Florida
Crime Incident Reporting Form
Murder/Non-Negligent Maslaughter: the willful (non-negligent) killing of one human being by another. NOTE: Deaths caused by
negligence, attempts to kill, assaults to kill, suicides, accidental deaths, and justifable homicide are excluded.
Negligent Manslaughter: the killing of another person through gross negligence.
Aggravated Assault: an unlawful attack by one person upon another for the purpose of inflicting severe or aggravated bodily injury. This
type of assault usually is accompanied by the use of a weapon or by means likely to produce death or great bodily harm. It is not necessary
that injury result from an aggravated assault when a gun, knife or other weapon is uesd which could or probably would result in a serious
potential injury if the crime were successfully completed.
Robbery: the taking or attempting to take anything of value from the care, custody or control of a person or persons by force or threat of
force or violence and/or by putting the vicitim in fear.
Please forward this completed form to : Marc Cossich, Chief of Police, Building 94 or email form to mcossich@uwf.edu
Complete this box if a crime was reported to you. If more than one crime was reported to you, fill out one of these forms for each crime
reported. (Please print) Reporting Person: _________________________ Phone Number: ______________
Crime Classification (see definitions below): ________________________________ Date Incident occured: ______________
Location of Incident (building name or address): ______________________________________________________
Brief description of incident:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Check appropriate answer to the following questions:
Department: ____________________________________________________________ (please print)
_____ Race _____ Religion _____ Ethnicity _____ Gender _____ Sexual Orientation _____ Disability
By placing your intitals on this line, you are confirming that no crimes, were reported to you during the requested calendar year.
Intial here: ________________
If NO crimes were reported to you in 2011, please complete this box , print your name and initial. This form is used to document that you
have received this reporting form and that no crimes were reported to you for the previous reporting cycle.
Reporting Person: _______________________________________________________ (please print)
Burglary: the unlawful entry of a structure to commit a felony or a theft. For reporting purposes this definition includes: unlawful entry
with intent to commit a larceny or a felony, breaking and entering with intent to commit a larceny; housebreaking, safecracking; and all
attempts to commit any of the aforementioned.
Motor Vehicle Theft: the theft or attempted theft of a motor vehicle. (Classify as motor vehicle theft all cases where automobiles are taken
by persons not having lawful access, even thought the vehicles are later abandoned - including joy riding).
Arson: The willful or malicious burning or attempt to burn, with or without intent to defraud, a dwelling house, public building, motor
vehicle or aircraft, or personal property of another kind.
Our school is also required to report statistics for bias-related (hate) crimes by the type of bias for the classifications defined above
and to also include the following classifications which are defined below: larceny-theft, destruction/damage/vandalism of property,
intimidation, and simple assault. A bias-related (hate) crime is not a separate, distinct crime, but is the commission of a criminal
offense which was motivated by the offender's bias. For example, a subject assaults a victim, which is a crime. If the facts of the case
indicate that the offender was motivated to commit the offense because of his bias against the victim's race, sexual orientation, etc...
the assault is then also classified as a hate crime.
Larceny: The unlawful taking, carrying, leading, or riding away of property from the possession or constructive possession of another.
Vandalism: To willfully or maliciously destroy, injure, disfigure, or deface any public or private property, real or personal, without the
consent of the owner or person having custody or control by cutting, tearing, breaking, marking, painting, drawing, covering with filth, or any
other such means as may be specified by local law.
Intimidation: To unlawfully place another person in reasonable fear of bodily harm through the use of threatening words and/or other
conduct, but without displaying a weapon or subjecting the victim to actual physical attack.
Simple Assault: An unlawful physical attack by one person upon another where neither the offender displays a weapon, nor the victim suffers
obvious severe or aggravated bodily injury involving apparent broken bones, loss of teeth, possible internal injury, severe laceration or loss of
consciousness.
A. Forcible Rape: The carnal knowledge of a person, forcibly and/or against the person’s will; or not forcibly or against the person’s
will where the victim is incapable of giving consent
B. Forcible Sodomy: Oral or anal sexual intercourse with another person, forcibly and/or against that person’s will; or not forcibly
against the person’s will where the victim is incapable of giving consent because of his/her youth or because of his/her temporary or
permanent mental or physical incapacity.
C. Sexual Assault With An Object: The use of an object or instrument to unlawfully penetrate, however slightly, the genital or anal
opening of the body of another person, forcibly and/or against that person’s will; or not forcibly or against the person’s will where the victim
is incapable of giving consent because of his/her youth or because of his/her temporary or permanent mental or physical incapacity.
A. Incest: Non-forcible sexual intercourse between persons who are related to each other within the degrees wherein marriage is
prohibited by law.
B. Statutory Rape: Non-forcible sexual intercourse with a person who is under the statutory age of consent.
D. Forcible Fondling: The touching of the private body parts of another person for the purpose of sexual gratification, forcibly
and/or against that person’s will; or, not forcibly or against the person’s will where the victim is incapable of giving consent because of
his/her youth or because of his/her temporary or permanent mental incapacity.
Sex Offenses-Non-Forcible: Unlawful, non-forcible sexual intercourse.
Sex Offenses-Forcible: Any sexual act directed against another person, forcibly and/or against that person’s will; or not forcibly or against
the person’s will where the victim is incapable of giving consent.
Weapon Law Violations: The violation of laws or ordinances dealing with weapon offenses, regulatory in nature, such as: manufacture,
sale, or possession of deadly weapons; carrying deadly weapons, concealed or openly; furnishing deadly weapons to minors; aliens,
possessing deadly weapons; all attempts to commit any of the aforementioned.
Drug Abuse Violations: Violations of state and local laws relating to the unlawful possession, sale, use, growing, manufacturing, and making
of narcotic drugs. The relevant substances include: opium or cocaine and their derivatives (morphine, heroin, codeine); marijuana; synthetic
narcotics (Demerol, methadones); and dangerous non-narcotic drugs (barbiturates, Benzedrine).
Liquor Law Violations: The violation of laws or ordinance prohibiting: the manufacture, sale, transporting, furnishing, possessing of
intoxicating liquor; maintaining unlawful drinking places; bootlegging; operating a still; furnishing liquor to minor or intemperate person;
using a vehicle for illegal transportation of liquor; drinking on a train or public conveyance; all attempts to commit any of the aforementioned.
(Drunkenness and driving under the influence are not included in this definition.)
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Campus Security Authority Crime Incident Reporting Form (University of West Florida)

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Completed 22 July 2020

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