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Thank you for helping us maintain campus safety. Please fill out as much of this form as you can. You need not provide your name or any other identification, but it is difficult for us to follow-up on anonymous reports. All information you provide is strictly voluntary. Rest assured that this website cannot determine your identity or location. Type of Crime: Murder Manslaughter Sex Assaults Arson Robbery Aggravated Assault Burglary Motor Vehicle Theft Liquor Law Violation Drug-Related Violation Weapons Possession Other When and where did the incident occur? Date: Time: am pm Location: Summary: What can you tell us about this incident? What can you tell us about yourself? In this incident, you are a: Participant/Suspect Victim Witness Other Your connection to UH is as a: Student Staff Member Faculty Member Area Resident Other Your name is: Your phone number is: Your email address is: You'd like to be contacted: Immediately Never If further information is necessary. If criminal prosecution is involved. If there are any major developments.