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.
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: