University of Illinois Urbana-Champaign
Student Affairs
Student Engagement | RSO Incident Report Form
Student Engagement | RSO Incident Report Form
1 Your Name:
2 Contact Email:
answer must be an email address
RSO President's Name (if applicable):
RSO President's Email (if applicable):
RSO Treasurer's Name (if applicable):
RSO Treasurer's Email (if applicable):
3 Date of Incident:
answer must be date like mm/dd/yyyy
4 Time of Incident:
5 Are you the person who witnessed the incident(s):
5 Are you the person who witnessed the incident(s):
YES
NO
If NO to the above, please list the witness and contact email:
6 Name of Registered Student Organization (RSO):
7 Location/Building where incident happened:
8 Description of Incident (damages, messes, unauthorized entry, etc.):
9 Please add any pictures or documentation of the incident: (maximum file size: 15MB)
Browse...
Delete
Additional pictures/documentation: (maximum file size: 15MB)
Browse...
Delete
Additional pictures/documentation: (maximum file size: 15MB)
Browse...
Delete
Include your email address in your submission to:
Get a copy of your answers
Enter your email address to get a copy of your answers