UniversityPoliceDepartment
CAMPUS SECURITY AUTHORITY CRIME REPORT FORM
CSA
Date
No crimes have been reported to me for ____________.
Crime reported by: Phone number:
Classification (see definitions below):
Date incident occurred:
Location of Incident (building name or address):
Brief description of the incident:
Check the appropriate answer to the following questions:
Did the crime occur in a building or on the street? Building: Street:
Did the crime occur on school owned, controlled, or leased property? Yes: No:
Did the crime occur at a University-sponsored activity or event? Yes: No:
Murder/Non-Negligent Manslaughter: 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 justifiable homicides are excluded.
Negligent Manslaughter: the killing of another person through gross negligence.
Robbery: the taking or attempting to take anything from value of the care, custody or
control of a person or persons by force or threat of force or violence and/or by putting
the victim in fear.
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 used which could or probably would result in a serious potential injury if
the crime were successfully completed.
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 though 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.
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.)
Please forward this completed form to:
Chief Ramon Zertuche
411 SW 24
th
Street
San Antonio, TX 78207
Walter Center G-04
USE REVERSE TO REPORT HATE CRIMES
We are also required to report statistics for bias-related (hate) crimes by the type of bias
as defined below for the following classifications: murder/non-negligent manslaughter,
negligent manslaughter, sex offenses (forcible and non-forcible), robbery, aggravated
assault, burglary, motor vehicle theft, arson, liquor law violations, drug abuse violations
and/or weapons: possessing carrying, etc. (see definitions on the front page) and
larceny-theft, destruction/damage/vandalism of property, intimidation, and simple
assault (see definitions below).
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.
If a hate crime occurs where there is an incident involving intimidation, vandalism,
larceny, simple assault or other bodily injury, the law requires that the statistic be
reported as a hate crime even though there is no requirement to report the crime
classification in any other area of the compliance document.
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.
If a bias-related (hate) crime was reported to you, please fill out the top section of Page
1 and then complete the following information about the type of bias involved in the
crime.
Type of Crime (List classification as defined above):
Type of Bias (circle one): Race Religion Ethnicity/National Origin
Gender Sexual Orientation Disability