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Campus Community Incident Referral Form


If you need to report an emergency or are reporting an incident that poses an imminent risk of harm, call University Police at 254-501-5800 or dial 9-1-1. Please know completing this form does not communicate to University Police.
Please use the form below to submit a referral to either the Office of Student Conduct involving Texas A&M University-Central Texas students. Reportable behaviors may include:

  1. Student Conduct violations
  2. Student Concerns; Refer to the Student CARE Team via Student Concern Form
  3. Academic Integrity Violations
    • Any allegations of generative artificial intelligence use or misuse must be accompanied by an AI detection software report. The full report must be attached or the Student Conduct Office will be limited in its ability to respond.


This form should not be used to report concerns related to sexual misconduct.

To make a report for sex-based misconduct, please visit the following:

  • To make a formal complaint permitting you to identify yourself as a victim or survivor of sex-based misconduct and confirm you want to initiate a formal complaint, visit the Formal Report Form.
  • To make a general complaint and inform the institution of your concerns without initiating a formal process, please visit the General Reporting Form.


When completing this form, please include as much information as possible. Your personal information will be kept as private as possible. While anonymous submissions are accepted, we will best be able to respond to your concern with your information. If you are submitting a BIT referral (changes in academic performance and behavior or appearance, suicidal ideation, etc.), please visit the BIT referral form.

Background Information

When completing this form, please include as much information as possible. Your personal information will be kept as private as possible. While anonymous submissions are accepted, we will best be able to respond to your concern with your information.

 
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Are you a student, faculty, staff?
Email address must be of a valid format.
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Critical should be reserved for emergency needs
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What date did this take place?
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Approximately what time did this take place?
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Example: Parking Lot A or Bill Yowell Conference Center

Involved Parties

Please list the individuals involved (excluding yourself), including as many of the listed fields as you can provide. For non-students, please list an Employee Number or Drivers License number in the block labeled SID (Student ID #) if available.

Involved party 1

Details, Description, & Narrative

Please supply as complete information as possible. To review violations covered by the Code of Student Conduct, we encourage you to visit: The Code of Student Conduct.

Please indicate the relevant category/categories that pertain to this incident report. Any allegations of generative artificial intelligence use or misuse must be accompanied by an AI detection software report. The full report must be attached or the Student Conduct Office will be limited in its ability to respond.

HONOR CODE & ACADEMIC INTEGRITY
You must make at least one selection.
UNIVERSITY
You must make at least one selection.
This field is required.
Was the University Police Department contacted?
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Was EMS contacted?
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To your knowledge, was alcohol and/or drugs involved?
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Supporting Documentation

Do you have any supporting documentation? For academic integrity referrals, this could include similarity index reports, the student submitted artifact, and information related to the original source(s). 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission