{"id":673,"date":"2019-02-14T13:26:07","date_gmt":"2019-02-14T19:26:07","guid":{"rendered":"https:\/\/www.maryville.edu\/publicsafety\/?page_id=673"},"modified":"2025-07-18T13:31:41","modified_gmt":"2025-07-18T18:31:41","slug":"clery-csa-crime-report-form","status":"publish","type":"page","link":"https:\/\/www.maryville.edu\/publicsafety\/clery-csa-crime-report-form\/","title":{"rendered":"Clery &#8211; CSA Crime Report Form"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_2_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_campussecurityauthoritycrimeincidentreportform\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Campus Security Authority Crime\/Incident Report Form<\/legend>\n\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"2\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_2\" id=\"frm_hide_fields_2\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"campussecurityauthoritycrimeincidentreportform\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_2\" name=\"frm_submit_entry_2\" value=\"c4764f40f9\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/publicsafety\/wp-json\/wp\/v2\/pages\/673\" \/><div id=\"frm_field_6_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_36guw\" id=\"field_36guw_label\" class=\"frm_primary_label\">CSA Email\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"email\" id=\"field_36guw\" name=\"item_meta[6]\" value=\"\"  data-invmsg=\"CSA Email is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_7_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_9tyys\" id=\"field_9tyys_label\" class=\"frm_primary_label\">CSA Phone\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"tel\" id=\"field_9tyys\" name=\"item_meta[7]\" value=\"\"  data-frmmask=\"(000) 000-0000\" data-invmsg=\"CSA Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\) \\d\\d\\d-\\d\\d\\d\\d$\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_8_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_r0aa1\" id=\"field_r0aa1_label\" class=\"frm_primary_label\">Date Incident Reported\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_r0aa1\" name=\"item_meta[8]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date Incident Reported is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_9_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <div  id=\"field_texja_label\" class=\"frm_primary_label\">Time Incident Reported\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/div>\n    <div class=\"frm_time_wrap\"><span dir=\"ltr\">\r\n<select aria-label=\"Time Incident Reported ... hour\" name=\"item_meta[9][H]\" id=\"field_texja_H\"  data-frmval=\"{&quot;H&quot;:&quot;&quot;,&quot;m&quot;:&quot;&quot;,&quot;A&quot;:&quot;&quot;,&quot;s&quot;:&quot;&quot;,&quot;ms&quot;:&quot;&quot;}\" data-invmsg=\"Time Incident Reported is invalid\" class=\"auto_width frm_time_select\" aria-invalid=\"false\"  ><option value=\"\"  selected='selected'><\/option><option value=\"12\" >12<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><\/select>\r\n<span class=\"frm_time_sep\" aria-hidden=\"true\">:<\/span>\r\n<select aria-label=\"Time Incident Reported ... minute\" name=\"item_meta[9][m]\" id=\"field_texja_m\"  data-frmval=\"{&quot;H&quot;:&quot;&quot;,&quot;m&quot;:&quot;&quot;,&quot;A&quot;:&quot;&quot;,&quot;s&quot;:&quot;&quot;,&quot;ms&quot;:&quot;&quot;}\" data-invmsg=\"Time Incident Reported is invalid\" class=\"auto_width frm_time_select auto_width frm_time_select\" aria-invalid=\"false\"  ><option value=\"\"  selected='selected'><\/option><option value=\"00\" >00<\/option><option value=\"01\" >01<\/option><option value=\"02\" >02<\/option><option value=\"03\" >03<\/option><option value=\"04\" >04<\/option><option value=\"05\" >05<\/option><option value=\"06\" >06<\/option><option value=\"07\" >07<\/option><option value=\"08\" >08<\/option><option value=\"09\" >09<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><option value=\"32\" >32<\/option><option value=\"33\" >33<\/option><option value=\"34\" >34<\/option><option value=\"35\" >35<\/option><option value=\"36\" >36<\/option><option value=\"37\" >37<\/option><option value=\"38\" >38<\/option><option value=\"39\" >39<\/option><option value=\"40\" >40<\/option><option value=\"41\" >41<\/option><option value=\"42\" >42<\/option><option value=\"43\" >43<\/option><option value=\"44\" >44<\/option><option value=\"45\" >45<\/option><option value=\"46\" >46<\/option><option value=\"47\" >47<\/option><option value=\"48\" >48<\/option><option value=\"49\" >49<\/option><option value=\"50\" >50<\/option><option value=\"51\" >51<\/option><option value=\"52\" >52<\/option><option value=\"53\" >53<\/option><option value=\"54\" >54<\/option><option value=\"55\" >55<\/option><option value=\"56\" >56<\/option><option value=\"57\" >57<\/option><option value=\"58\" >58<\/option><option value=\"59\" >59<\/option><\/select>\r\n<\/span>\r\n<select aria-label=\"Time Incident Reported\" name=\"item_meta[9][A]\" id=\"field_texja_A\"  data-frmval=\"{&quot;H&quot;:&quot;&quot;,&quot;m&quot;:&quot;&quot;,&quot;A&quot;:&quot;&quot;,&quot;s&quot;:&quot;&quot;,&quot;ms&quot;:&quot;&quot;}\" data-invmsg=\"Time Incident Reported is invalid\" class=\"auto_width frm_time_select auto_width frm_time_select auto_width frm_time_select\" aria-invalid=\"false\"  ><option value=\"AM\" >AM<\/option><option value=\"PM\" >PM<\/option><\/select>\r\n<\/div>\n    \n    \n<\/div>\n<div id=\"frm_field_10_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_kksaj\" id=\"field_kksaj_label\" class=\"frm_primary_label\">Date Incident Occurred\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_kksaj\" name=\"item_meta[10]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date Incident Occurred is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_11_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_v0ggv\" id=\"field_v0ggv_label\" class=\"frm_primary_label\">Name of Victim (Optional)\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input  type=\"text\" id=\"field_v0ggv\" name=\"item_meta[11]\" value=\"\"  data-invmsg=\"Name of Victim (Optional) is invalid\" aria-invalid=\"false\"   \/>\n    \n    \n<\/div>\n<div id=\"frm_field_12_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_y7zi7\" id=\"field_y7zi7_label\" class=\"frm_primary_label\">Name of Witnesses (Optional)\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input  type=\"text\" id=\"field_y7zi7\" name=\"item_meta[12]\" value=\"\"  data-invmsg=\"Name of Witnesses (Optional) is invalid\" aria-invalid=\"false\"   \/>\n    \n    \n<\/div>\n<div id=\"frm_field_13_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_mucqh\" id=\"field_mucqh_label\" class=\"frm_primary_label\">Name of Suspect (Optional)\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input  type=\"text\" id=\"field_mucqh\" name=\"item_meta[13]\" value=\"\"  data-invmsg=\"Name of Suspect (Optional) is invalid\" aria-invalid=\"false\"   \/>\n    \n    \n<\/div>\n<div id=\"frm_field_14_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p style=\"font-weight: 700; color: #0a0a0a;\">Check the box that best indicate the crime you are reporting.  As needed, refer to the crime definitions listed <a href=\"#definitions\">below<\/a>.<\/p>\n<\/div>\n<div id=\"frm_field_15_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio frm_other_container\">\n    <div  id=\"field_fdonu_label\" class=\"frm_primary_label\">Crime\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/div>\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_fdonu_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_15-0\">\t\t\t<label  for=\"field_fdonu-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-0\" value=\"Murder\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Murder<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-1\">\t\t\t<label  for=\"field_fdonu-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-1\" value=\"Manslaughter\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Manslaughter<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-2\">\t\t\t<label  for=\"field_fdonu-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-2\" value=\"Robbery\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Robbery<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-3\">\t\t\t<label  for=\"field_fdonu-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-3\" value=\"Burglary\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Burglary<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-4\">\t\t\t<label  for=\"field_fdonu-4\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-4\" value=\"Motor Vehicle Theft\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Motor Vehicle Theft<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-5\">\t\t\t<label  for=\"field_fdonu-5\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-5\" value=\"Aggravated Assault\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Aggravated Assault<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-6\">\t\t\t<label  for=\"field_fdonu-6\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-6\" value=\"Rape\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Rape<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-7\">\t\t\t<label  for=\"field_fdonu-7\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-7\" value=\"Fondling\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Fondling<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-8\">\t\t\t<label  for=\"field_fdonu-8\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-8\" value=\"Statutory Rape\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Statutory Rape<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-9\">\t\t\t<label  for=\"field_fdonu-9\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-9\" value=\"Incest\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Incest<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-10\">\t\t\t<label  for=\"field_fdonu-10\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-10\" value=\"Arson\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Arson<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-11\">\t\t\t<label  for=\"field_fdonu-11\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-11\" value=\"Dating Violence\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Dating Violence<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-12\">\t\t\t<label  for=\"field_fdonu-12\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-12\" value=\"Domestic Violence\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Domestic Violence<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-13\">\t\t\t<label  for=\"field_fdonu-13\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-13\" value=\"Stalking\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Stalking<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-14\">\t\t\t<label  for=\"field_fdonu-14\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-14\" value=\"Alcohol Law Violation\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Alcohol Law Violation<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-15\">\t\t\t<label  for=\"field_fdonu-15\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-15\" value=\"Drug Law Violation\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Drug Law Violation<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-16\">\t\t\t<label  for=\"field_fdonu-16\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-16\" value=\"Weapon Law Violation\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Weapon Law Violation<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-other_17\">\t\t\t<label  for=\"field_fdonu-other_17\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_fdonu-other_17\" value=\"Other\"\n\t\t   data-invmsg=\"Crime is invalid\"  \/> Other<\/label><label for=\"field_fdonu-other_17-otext\" class=\"frm_screen_reader frm_hidden\">Other<\/label><input type=\"text\" id=\"field_fdonu-other_17-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][15]\" value=\"\" \/><\/div>\n<\/div>\n    \n    \n<\/div>\n<div id=\"frm_field_16_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\n    <div  id=\"field_w3f0p_label\" class=\"frm_primary_label\">The following crimes need only be reported if the victim(s) of the reported crime was\/were targeted specifically of bias\/prejudice against the victim\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/div>\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_w3f0p_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_16-0\">\t\t\t<label  for=\"field_w3f0p-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[16]\" id=\"field_w3f0p-0\" value=\"Simple Assault\"\n\t\t   data-invmsg=\"The following crimes need only be reported if the victim(s) of the reported crime was\/were targeted specifically of bias\/prejudice against the victim is invalid\"  \/> Simple Assault<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_16-1\">\t\t\t<label  for=\"field_w3f0p-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[16]\" id=\"field_w3f0p-1\" value=\"Larceny\"\n\t\t   data-invmsg=\"The following crimes need only be reported if the victim(s) of the reported crime was\/were targeted specifically of bias\/prejudice against the victim is invalid\"  \/> Larceny<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_16-2\">\t\t\t<label  for=\"field_w3f0p-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[16]\" id=\"field_w3f0p-2\" value=\"Intimidation\"\n\t\t   data-invmsg=\"The following crimes need only be reported if the victim(s) of the reported crime was\/were targeted specifically of bias\/prejudice against the victim is invalid\"  \/> Intimidation<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_16-3\">\t\t\t<label  for=\"field_w3f0p-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[16]\" id=\"field_w3f0p-3\" value=\"Vandalism\"\n\t\t   data-invmsg=\"The following crimes need only be reported if the victim(s) of the reported crime was\/were targeted specifically of bias\/prejudice against the victim is invalid\"  \/> Vandalism<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_16-4\">\t\t\t<label  for=\"field_w3f0p-4\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[16]\" id=\"field_w3f0p-4\" value=\"Any other crime involving bodily injury\"\n\t\t   data-invmsg=\"The following crimes need only be reported if the victim(s) of the reported crime was\/were targeted specifically of bias\/prejudice against the victim is invalid\"  \/> Any other crime involving bodily injury<\/label><\/div>\n<\/div>\n    \n    \n<\/div>\n<div id=\"frm_field_17_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_y4v0u\" id=\"field_y4v0u_label\" class=\"frm_primary_label\">Provide a brief explanation of why you believe the crime was motivated by hate or bias\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <textarea name=\"item_meta[17]\" id=\"field_y4v0u\" rows=\"5\"  data-invmsg=\"Provide a brief explanation of why you believe the crime was motivated by hate or bias is invalid\" aria-invalid=\"false\"  ><\/textarea>\n    \n    \n<\/div>\n<div id=\"frm_field_18_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\n    <div  id=\"field_9h88v_label\" class=\"frm_primary_label\">Hate Crime Bias Type\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/div>\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_9h88v_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_18-0\">\t\t\t<label  for=\"field_9h88v-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_9h88v-0\" value=\"Race\"\n\t\t   data-invmsg=\"Hate Crime Bias Type is invalid\"  \/> Race<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_18-1\">\t\t\t<label  for=\"field_9h88v-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_9h88v-1\" value=\"Ethnicity\"\n\t\t   data-invmsg=\"Hate Crime Bias Type is invalid\"  \/> Ethnicity<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_18-2\">\t\t\t<label  for=\"field_9h88v-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_9h88v-2\" value=\"Gender\"\n\t\t   data-invmsg=\"Hate Crime Bias Type is invalid\"  \/> Gender<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_18-3\">\t\t\t<label  for=\"field_9h88v-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_9h88v-3\" value=\"Religion\"\n\t\t   data-invmsg=\"Hate Crime Bias Type is invalid\"  \/> Religion<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_18-4\">\t\t\t<label  for=\"field_9h88v-4\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_9h88v-4\" value=\"Disability\"\n\t\t   data-invmsg=\"Hate Crime Bias Type is invalid\"  \/> Disability<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_18-5\">\t\t\t<label  for=\"field_9h88v-5\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_9h88v-5\" value=\"Sexual Orientation\"\n\t\t   data-invmsg=\"Hate Crime Bias Type is invalid\"  \/> Sexual Orientation<\/label><\/div>\n<\/div>\n    \n    \n<\/div>\n<div id=\"frm_field_19_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_1ti9j\" id=\"field_1ti9j_label\" class=\"frm_primary_label\">Location of Incident (Specific Location of Incident)\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input  type=\"text\" id=\"field_1ti9j\" name=\"item_meta[19]\" value=\"\"  data-invmsg=\"Location of Incident (Specific Location of Incident) is invalid\" aria-invalid=\"false\"   \/>\n    \n    \n<\/div>\n<div id=\"frm_field_20_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_fodp2\" id=\"field_fodp2_label\" class=\"frm_primary_label\">Brief Description of Incident\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <textarea name=\"item_meta[20]\" id=\"field_fodp2\" rows=\"5\"  data-invmsg=\"Brief Description of Incident is invalid\" aria-invalid=\"false\"  ><\/textarea>\n    \n    \n<\/div>\n<div id=\"frm_field_21_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\n    <div  id=\"field_tmbb4_label\" class=\"frm_primary_label\">Does the victim wish to be contacted by Public Safety?\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/div>\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_tmbb4_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_21-0\">\t\t\t<label  for=\"field_tmbb4-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[21]\" id=\"field_tmbb4-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Does the victim wish to be contacted by Public Safety? is invalid\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_21-1\">\t\t\t<label  for=\"field_tmbb4-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[21]\" id=\"field_tmbb4-1\" value=\"No\"\n\t\t   data-invmsg=\"Does the victim wish to be contacted by Public Safety? is invalid\"  \/> No<\/label><\/div>\n<\/div>\n    \n    \n<\/div>\n<div id=\"frm_field_22_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\n    <div  id=\"field_d6c4e_label\" class=\"frm_primary_label\">To the best of your knowledge, were any of the following offices or agencies notified of this incident?  Please check all that apply\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/div>\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_d6c4e_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_22-0\">\t\t\t<label  for=\"field_d6c4e-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[22][]\" id=\"field_d6c4e-0\" value=\"91ÖÆƬ³§ Public Safety\"  data-invmsg=\"To the best of your knowledge, were any of the following offices or agencies notified of this incident?  Please check all that apply is invalid\"   \/> 91ÖÆƬ³§ Public Safety<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_22-1\">\t\t\t<label  for=\"field_d6c4e-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[22][]\" id=\"field_d6c4e-1\" value=\"Town &amp; Country Police\"  data-invmsg=\"To the best of your knowledge, were any of the following offices or agencies notified of this incident?  Please check all that apply is invalid\"   \/> Town &amp; Country Police<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_22-2\">\t\t\t<label  for=\"field_d6c4e-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[22][]\" id=\"field_d6c4e-2\" value=\"Other Law Enforcement Agency\"  data-invmsg=\"To the best of your knowledge, were any of the following offices or agencies notified of this incident?  Please check all that apply is invalid\"   \/> Other Law Enforcement Agency<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_22-3\">\t\t\t<label  for=\"field_d6c4e-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[22][]\" id=\"field_d6c4e-3\" value=\"Title IX Office\"  data-invmsg=\"To the best of your knowledge, were any of the following offices or agencies notified of this incident?  Please check all that apply is invalid\"   \/> Title IX Office<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_22-4\">\t\t\t<label  for=\"field_d6c4e-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[22][]\" id=\"field_d6c4e-4\" value=\"Office of the Dean of Students\"  data-invmsg=\"To the best of your knowledge, were any of the following offices or agencies notified of this incident?  Please check all that apply is invalid\"   \/> Office of the Dean of Students<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_22-5\">\t\t\t<label  for=\"field_d6c4e-5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[22][]\" id=\"field_d6c4e-5\" value=\"Residential Life\"  data-invmsg=\"To the best of your knowledge, were any of the following offices or agencies notified of this incident?  Please check all that apply is invalid\"   \/> Residential Life<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_22-6\">\t\t\t<label  for=\"field_d6c4e-6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[22][]\" id=\"field_d6c4e-6\" value=\"Department Head\"  data-invmsg=\"To the best of your knowledge, were any of the following offices or agencies notified of this incident?  Please check all that apply is invalid\"   \/> Department Head<\/label><\/div>\n<\/div>\n    \n    \n<\/div>\n<div id=\"frm_field_23_container\" class=\"frm_form_field form-field \">\n\t<div class=\"frm_submit\">\n\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Submit<\/button>\n\n\n<\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_24_container\">\n\t\t\t<label for=\"field_tqn07\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_tqn07\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[24]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"E\/oPqZmRC0KAwKDxE2s9kyj3dYmc4a+UrxLkBCy9hQJsjdf+MmxzD5aDT+aAQShi\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n\n<hr \/>\n<p><a name=\"definitions\"><\/a><\/p>\n<h3>DEFINITIONS<\/h3>\n<p>(Definitions from the Handbook for Campus Safety and Security Reporting)<\/p>\n<p><strong>Murder\/Non-Negligent Manslaughter<\/strong><br \/>\nThe willful (non-negligent) killing of one human by another.<\/p>\n<p><strong>Negligent Manslaughter<\/strong><br \/>\nThe killing of another person through gross negligence.<\/p>\n<p><strong>Robbery<\/strong><br \/>\nThe taking or attempting to take anything from value of the care, custody, or control of a person or persons by force or threat of force or violence and\/or by putting the victim in fear.<\/p>\n<p><strong>Aggravated Assault<\/strong><br \/>\nAn unlawful attack by one person upon another for the purpose of inflicting severe or aggravated bodily injury. This type of assault usually is accompanied by the use of a weapon or by means likely to produce death or great bodily harm. It is not necessary that injury result from an aggravated assault when a gun, knife or other weapon is used that could or probably would result in a serious potential injury if the crime were successfully completed.<\/p>\n<p><strong>Rape<\/strong><br \/>\n&#8220;Penetration, no matter how slight, of the vagina or anus with any body part or object, or oral penetration by a sex organ of another person, without the consent of the victim.&#8221;<\/p>\n<p><strong>Fondling<\/strong><br \/>\n&#8220;The touching of the private body parts of another person for the purpose of sexual gratification, without the consent of the victim, including instances where the victim is incapable of giving consent because of his\/her age or because of his\/her temporary or permanent mental incapacity.&#8221;<\/p>\n<p><strong>Incest<\/strong><br \/>\nSexual intercourse between persons who are related to each other within the degrees wherein marriage is prohibited by law.<\/p>\n<p><strong>Statutory Rape<\/strong><br \/>\nSexual intercourse with a person who is under the statutory age of consent.<\/p>\n<p><strong>Arson<\/strong><br \/>\nAny willful or malicious burning or attempt to burn, with or without intent to defraud, a dwelling house, public building, motor vehicle or aircraft, personal property of another, etc.<\/p>\n<p><strong>Burglary<\/strong><br \/>\nThe unlawful entry of a structure to commit a felony or a theft. For reporting purposes this definition includes: unlawful entry with intent to commit a larceny or a felony; breaking and entering with intent to commit a larceny; housebreaking; safecracking; and all attempts to commit any of the aforementioned.<\/p>\n<p><strong>Motor Vehicle Theft<\/strong><br \/>\nThe theft or attempted theft of a motor vehicle. Theft of any self-propelled vehicle that runs on land surface and not on rails, such as: sports utility vehicles, automobiles, trucks, buses, motorcycles, motor scooters, trail bikes, mopeds, all-terrain vehicles, self-propelled motor homes, snowmobiles, golf carts and motorized wheelchairs. (Classify as motor vehicle theft all cases where automobiles are taken by persons not having lawful access, even though the vehicles are later abandoned \u2014 including joy riding.)<\/p>\n<p><strong>Weapon Law Violations<\/strong><br \/>\nThe violation of laws or ordinances dealing with weapon offenses, regulatory in nature, such as: manufacture, sale or possession of deadly weapons; carrying deadly weapons, concealed or openly; furnishing deadly weapons to minors; aliens possessing deadly weapons; all attempts to commit any of the aforementioned.<\/p>\n<p><strong>Drug Abuse Violations<\/strong><br \/>\nViolations of state and local laws relating to the unlawful possession, sale, use, growing, manufacturing, and making of narcotic drugs. The relevant substances include: opium or cocaine and their derivatives (morphine, heroin, codeine); marijuana; synthetic narcotics (Demerol, methadone); and dangerous non-narcotic drugs (barbiturates, Benzedrine).<\/p>\n<p><strong>Liquor Law Violations<\/strong><br \/>\nThe violation of laws or ordinance prohibiting the manufacture, sale, transporting, furnishing, possession of intoxicating liquor, maintaining unlawful drinking places; bootlegging; operating a still; furnishing liquor to minor or intemperate person; using a vehicle for illegal transportation of liquor; drinking on a train or public conveyance; all attempts to commit any of the aforementioned. (Drunkenness and driving under the influence are not included in this definition.)<\/p>\n<p><strong>Hate Crimes<\/strong><br \/>\nA criminal offense committed against a person or property that is motivated, in whole or in part, by the offender&#8217;s bias. Hate-specific crimes may include any of the above defined crimes or also:<br \/>\n<strong><br \/>\nLarceny<\/strong><br \/>\nThe unlawful taking, carrying, leading, or riding away of property from the possession or constructive possession of another.<br \/>\n<strong><br \/>\nVandalism<\/strong><br \/>\nTo willfully or maliciously destroy, injure, disfigure, or deface any public or private property, real or personal, without the consent of the owner or person having custody or control by cutting, tearing, breaking, marking, painting, drawing, covering with filth, or any other such means as may be specified by local law.<\/p>\n<p><strong>Intimidation<\/strong><br \/>\nTo unlawfully place another person in reasonable fear of bodily harm through the use of threatening words and\/or other conduct, but without displaying a weapon or subjecting the victim to actual physical attack.<\/p>\n<p><strong>Simple Assault<\/strong><br \/>\nAn unlawful physical attack by one person upon another where neither the offender displays a weapon nor the victim suffers obvious severe or aggravated bodily injury involving apparent broken bones, loss of teeth, possible internal injury, severe laceration or loss of consciousness.<\/p>\n<p><strong>Dating Violence<\/strong><br \/>\nViolence committed by a person who is or has been a in a social relationship of a romantic or intimate nature with the victim.<\/p>\n<p><strong>Domestic Violence<\/strong><br \/>\nFelony or misdemeanor crimes of violence committed by a current or former spouse of the victim, a person whom the victim shares a child in common, a person who is cohabitating with or has cohabitated with the victim as a spouse or someone similarly situated to spouse.<\/p>\n<p><strong>Stalking<\/strong><br \/>\nEngaging in a course of conduct directed at a specific person that would cause a reasonable person to fear for his or her safety or the safety of others OR suffer substantial emotional distress.<\/p>\n<div class=\"sharing-default-minimal post-bottom\"><div class=\"nectar-social default\" data-position=\"\" data-rm-love=\"0\" data-color-override=\"override\"><div class=\"nectar-social-inner\"><a href=\"#\" class=\"nectar-love\" id=\"nectar-love-673\" title=\"Love this\"> <i class=\"icon-salient-heart-2\"><\/i><span class=\"love-text\">Love<\/span><span class=\"total_loves\"><span class=\"nectar-love-count\">0<\/span><\/span><\/a><a class='facebook-share nectar-sharing' href="#" title='Share this'> <i class='fa fa-facebook'><\/i> <span class='social-text'>Share<\/span> <\/a><a class='twitter-share nectar-sharing' href="#" title='Share this'> <i class='fa icon-salient-x-twitter'><\/i> <span class='social-text'>Share<\/span> <\/a><a class='linkedin-share nectar-sharing' href="#" title='Share this'> <i class='fa fa-linkedin'><\/i> <span class='social-text'>Share<\/span> <\/a><a class='pinterest-share nectar-sharing' href="#" title='Pin this'> <i class='fa fa-pinterest'><\/i> <span class='social-text'>Pin<\/span> <\/a><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>DEFINITIONS (Definitions from the Handbook for Campus Safety and Security Reporting) Murder\/Non-Negligent Manslaughter The willful (non-negligent) killing of one human by another. Negligent Manslaughter The killing of another person through gross negligence. Robbery The taking or attempting to take anything from value of the care, custody, or control of a person or persons by force<a class=\"moretag\" href=\"https:\/\/www.maryville.edu\/publicsafety\/clery-csa-crime-report-form\/\">&#8230; read more<\/a><\/p>\n","protected":false},"author":1495,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-673","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.1 (Yoast SEO v26.9) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Clery - CSA Crime Report Form - Public Safety<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.maryville.edu\/publicsafety\/clery-csa-crime-report-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Clery - CSA Crime Report Form\" \/>\n<meta property=\"og:description\" content=\"DEFINITIONS (Definitions from the Handbook for Campus Safety and Security Reporting) Murder\/Non-Negligent Manslaughter The willful (non-negligent) killing of one human by another. 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Robbery The taking or attempting to take anything from value of the care, custody, or control of a person or persons by force... read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.maryville.edu\/publicsafety\/clery-csa-crime-report-form\/\" \/>\n<meta property=\"og:site_name\" content=\"Public Safety\" \/>\n<meta property=\"article:modified_time\" content=\"2025-07-18T18:31:41+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.maryville.edu\/publicsafety\/clery-csa-crime-report-form\/\",\"url\":\"https:\/\/www.maryville.edu\/publicsafety\/clery-csa-crime-report-form\/\",\"name\":\"Clery - CSA Crime Report Form - Public Safety\",\"isPartOf\":{\"@id\":\"https:\/\/www.maryville.edu\/publicsafety\/#website\"},\"datePublished\":\"2019-02-14T19:26:07+00:00\",\"dateModified\":\"2025-07-18T18:31:41+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.maryville.edu\/publicsafety\/clery-csa-crime-report-form\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.maryville.edu\/publicsafety\/clery-csa-crime-report-form\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.maryville.edu\/publicsafety\/clery-csa-crime-report-form\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.maryville.edu\/publicsafety\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Clery &#8211; CSA Crime Report Form\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.maryville.edu\/publicsafety\/#website\",\"url\":\"https:\/\/www.maryville.edu\/publicsafety\/\",\"name\":\"Public Safety\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.maryville.edu\/publicsafety\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Clery - CSA Crime Report Form - Public Safety","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.maryville.edu\/publicsafety\/clery-csa-crime-report-form\/","og_locale":"en_US","og_type":"article","og_title":"Clery - CSA Crime Report Form","og_description":"DEFINITIONS (Definitions from the Handbook for Campus Safety and Security Reporting) Murder\/Non-Negligent Manslaughter The willful (non-negligent) killing of one human by another. 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