Incident Report Form Options

Incidents and accidents may involve moderate to major physical injuries of participants and/or program staff, behavioral issues, or hospital/doctor visits. A person having cause to believe that a minor’s physical or mental health or welfare has been adversely affected by abuse, neglect, or other maltreatment by any person shall immediately make a report to local law enforcement. Please submit the following information within 24 hours of any incident involving injury to or affecting the health or safety of a participant. [1]

[1] In addition to submitting this incident report, immediately call Sgt. Rodger Paxton in the University Police Department at 979-845-8895 (office), 979-574-6179 (cell) for any incident involving physical violence causing substantial injury (assault), weapons used in the commission of a crime, rape, fondling, date rape drugs or other substances used to facilitate a crime, or predatory behavior. The call is to initiate Clery daily crime log disclosure and crime alert evaluation, and will not generate a police response.

Please select the appropriate incident report form depending on which of the following roles best suits you. Please note that the program staff must use the CPM Staff Incident Report portal to submit incident reports.