University of Minnesota

Library Incident Report Form

Date:
Time:
Location:
Type of Incident: Crime Conflict Emergency Other
Name of
reporting person:
Phone:
Unit: (if staff)
If applicable:
Witness name: Phone:
Witness name: Phone:

If a crime was committed, give a brief description of the person:
Height: Weight: Hair Color: Sex: Female Male
Description of clothing the person was wearing:

Problem: 

Action Taken:
Called 911: Police Medical Emergency Fire
Called Facilities Management/Automation for building emergency
Called Geographic Facilitator or Library Designee
(Andersen 5-9825, Biomed 6-3375, East Bank 4-6335, Wils 4-6515, STP 4-6296)
Contacted Security Monitor
Reported to Supervisor
Other

In order to help us fight comment spam, please answer the following math problem:

What is 5 + 1?

This report will go automatically to Matt Bowers, Libraries Security/Safety Coordinator.