Incident Report ONLY USE THIS FORM IF YOU CANNOT ACCESS STARREZ Report Information Person Filing Report: Type of Person Reporting: - Select -Resident AssistantStaff MemberResident UCCS Email Address: Room Number or Location: Date of Incident: Time of Incident: Persons Involved: Person Mailbox # Phone # Room # Resident Cited/Ticketed Operations Person Mailbox # Phone # Room # Resident - None -YesNo Cited/Ticketed - None -YesNo Add more items more items Type of Incident: Alcohol Drugs Assault Noise Fire Theft Trespassing Weapons Medical Transport Suicide Attempt/Threat False Fire Alarm Injury/Illness Psychological Emergency Property Damage Arrested Verbal Abuse Welfare Check Other Type of Incident: Pro-Staff Member: UCCS Police: UCCS Counseling: Fire Department: Please SelectYesNo Ambulance: Please SelectYesNo Hospital Transport: - None -No Hospital NeededMemorialMemorial BriargatePenrose MainPenrose Community Description: Briefly describe the incident, be sure to include any background information that is needed
