Incident Report Form

Campus is generally a very safe place indeed, with very low crime levels compared to many other universities; however, a small number of students have been victim to incidents of anti-social behaviour, racism and street crime when they are travelling on foot or cycling in the local area to or from Campus.

The University is working closely with the police and other stakeholders to reduce these crimes and we want you to report incidents that have happened to you. This enables us to understand the size and scope of the problem, so that we can provide appropriate support for you. Completing this form does not create a formal report to the police.

If you want to report the incident to the police, you need to follow the steps below.

Types of incident may include, for example; threats of violence, verbal abuse, physical violence, theft, damage to personal property and damage to accommodation.

If the incident relates to sexual violence, please view our sexual violence prevention and support pages to report the incident.

Urgent police response required?

If you think you are in immediate danger right now, dial 999 (emergency services number for the UK) and request an urgent police and/or medical response. You should do this when:

An offender is still present and you are in danger
You or anyone else is seriously hurt
You think the offender may return

Please also complete this form if you have reported using 999.

Non-emergency police report

If a crime has been committed and you wish to report it to the police, dial 101 (non-emergency number for the UK) as well as completing this form.

Incident Details

Where did the incident take place? Please provide the address or location.

When did the incident take place?

What time did the incident take place? Please be as accurate as possible.

Type of incident

Other: please specify

Are you a victim, witness or reporting on behalf of another?

Please provide as much additional information about the incident as possible in your own words using the box below.

About the offender(s)

If the alleged perpetrator is not a member of the Warwick community this information will only be used by the police.

How many offenders were there?

Yes

If yes, please give details

Can you describe the offenders? Please give as much detail as possible. What age? How tall? Build? Hair colour? Hair length and style? Facial features (moustache, beard, clean shaven)? Earrings or piercings? Tattoos? Ethnicity? Clothing colour and type?

Vehicle details

Yes

Not sure

If yes, please provide vehicle details (including direction of travel) Make, model, colour, registration plate? Hatchback, saloon, estate, SUV?

Offence Type

Injury/Damage

Yes

Not sure

If yes or not sure, please give details

Yes

Not sure

If yes or not sure, please give details

Witness information/CCTV/video evidence

Yes

Not sure

Yes

Not sure

Yes

Not sure

If you answered yes to any of the above questions, please provide details here

Your details (optional)

Name

Date of birth

Gender

Please select your ethnicity

If any other ethnic group, please state

Address

Phone number

Email address

Please specify how you prefer to be contacted

This incident report will be forwarded immediately to Wellbeing Support Services, Students’ Union (SU) Advice Centre and the Community Safety Team. We aim to process the information submitted within 2-3 working days and someone will be in touch to talk to you about options, advice and support available.

I agree

Privacy notice

The University of Warwick will process your personal data provided in this incident report form for the purposes of reviewing the Information you have submitted and contacting you with regards to options, advice and support available.

The legal basis for processing this personal data is that it is necessary for the performance of a contract or consent, which is obtained through your submission of this online form.

Your personal data will not be shared or disclosed to any third parties external to the University of Warwick, except the Student’s Union Advice Centre who will only process your personal data for the purposes of providing advice and support.

Your personal data will not be transferred outside of the EEA, will be kept securely by the University of Warwick and will be retained for the current academic year + 6 years.

The University of Warwick is the Data Controller of this information and is committed to protecting the rights of individuals in line with Data Protection Legislation. Please visit the University’s Data Protection webpages for further information in relation to your rights and how the University processes your personal data. The University’s Data Protection Officer, A Bajaj, can be contacted through infocompliance@warwick.ac.uk and any requests or complaints should be made in writing to the University’s Data Protection Officer.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University’s Data Protection webpages provide further information on your rights and how the University processes personal data. Please submit any data subject rights requests to infocompliance@warwick.ac.uk or address any complaints or suspected breaches to the University’s Data Protection Officer at DPO@warwick.ac.uk.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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