Free University Incident Report Notice Template

University Incident Report Notice

Date of Incident: December 3, 2054
Time of Incident: 10:45 AM
Location of Incident: Campus Library, 2nd Floor
Reported By: John Smith
Position: Campus Security Officer


Incident Details:

A verbal altercation occurred in the Campus Library between two students, Jane Doe and Mark Johnson, at approximately 10:45 AM. The argument escalated when Jane allegedly accused Mark of taking her personal belongings. The situation was promptly de-escalated by campus security, and both students were separated without further incident.

Actions Taken:

  • Campus security was immediately notified of the disturbance.

  • Officer John Smith responded to the scene and intervened in the altercation.

  • Both students were escorted to the security office for further discussion and to resolve the issue.

  • The library staff was alerted, and no property was reported as missing.

Individuals Involved:

  • Jane Doe, Student ID: 123456, Undergraduate, Biology Major

  • Mark Johnson, Student ID: 789012, Undergraduate, Computer Science Major

Witnesses:

  • Emma Clark, Student, Undergraduate, English Major (Contact: emma.clark@email.com)

  • Thomas Lee, Student, Graduate, History Major (Contact: thomas.lee@email.com)

Follow-up Actions:

  • Both students are scheduled for a mediation session with the student conduct office on December 5, 2054.

  • A formal warning will be issued to both parties, pending further investigation.

  • No disciplinary action has been taken at this time.

Report Filed By:
[Your Name]
Campus Security Officer
Department of Campus Security


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