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:
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Campus security was immediately notified of the disturbance.
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Officer John Smith responded to the scene and intervened in the altercation.
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Both students were escorted to the security office for further discussion and to resolve the issue.
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The library staff was alerted, and no property was reported as missing.
Individuals Involved:
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Jane Doe, Student ID: 123456, Undergraduate, Biology Major
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Mark Johnson, Student ID: 789012, Undergraduate, Computer Science Major
Witnesses:
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Emma Clark, Student, Undergraduate, English Major (Contact: emma.clark@email.com)
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Thomas Lee, Student, Graduate, History Major (Contact: thomas.lee@email.com)
Follow-up Actions:
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Both students are scheduled for a mediation session with the student conduct office on December 5, 2054.
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A formal warning will be issued to both parties, pending further investigation.
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No disciplinary action has been taken at this time.
Report Filed By:
[Your Name]
Campus Security Officer
Department of Campus Security