University Police - Incident Report Request Form

Incident Report Request Form

University Police
Southern Police Case Number
Date of Incident

MonthDayYear
Date
Type of Incident
Purpose for Request
Requestor Name

First NameLast Name
Requestor Email
example@example.com
Requestor Phone
Please enter a valid phone number.Format: (000) 000-0000.
We do not charge for most requests. This may be reassessed if the request is voluminous or further defined in Section 1-212 of the Connecticut General Statutes.
Should be Empty: