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Safety, Security, & Emergency Management
Security Incident Report
Security Incident Report
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Use this form to report a security incident or concern.
Title
A short description to explain the nature of a ticket.
Security Incident Report
If the incident or concern relates to student non-academic conduct please use the Student Non-Academic Reporting Form located in Etrieve
Campus:
Please select a campus from the drop down list. Select 'other' if a campus is not relevant.
Kelowna
Penticton
Salmon Arm
Vernon
Other
Building:
Area:
Incident Type:
Incident Description and Details:
Action Taken:
Have the Police Been Contacted?
No
Yes
Date and Time of the Incident
(mm/dd/yyyy hh:mm)
Person Reporting:
Phone Number:
Victim Information:
Witness Information:
Attachment
File attachments associated with the ticket.
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Other Fields
Your name
Your first name
Your last name
Your email address
Verification Code