Incident/Criminal Report
Date of Incident
Time of Incident
:
AM
PM
Campus Location
Airport Center
Aviation Tech Center
Central Center
City Center
Comotara Center
Grove Campus
Hawker Beechcraft
Hawker at Grove
Hawker at NCAT
Kansas Veteran's Home
McConnell AFB Education Center
Metropolitan Complex
NICHE
National Center Aviation Trng
Off-site Campus
Old Town
Online Learning
Seneca Center
Southside Education Center
WSU Haysville
WSU South
WSU West
Your Information
Your Name:
Sex:
Male
Female
Date of Birth:
Address:
City:
State:
ZIP:
Phone:
Contact Email:
Suspect Information
Suspect Appearance
Sex:
Male
Female
Unknown
Do you know what the suspect looked like?
Yes
No
Please give a detailed description of the suspect.
Height:
Unknown
Under 4 feet
4'1"
4'2"
4'3"
4'4"
4'5"
4'6"
4'7"
4'8"
4'9"
4'10"
4'11"
5 Feet
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6 Feet
6'1"
6'2"
6'3"
6'4"
6'5"
6'6"
6'7"
6'8"
6'9"
6'10"
6'11"
Over 7ft
Hair:
Race:
Select One
American Indian
Asian
Caucasian
Black or African American
Hawaiian or Pacific Islander
Ethnicity:
Select One
Hispanic or Latino
Not Hispanic or Latino
Do you know the suspect's identity?
Yes
No
Suspect Name:
SSN:
Date of Birth:
Address:
City:
State:
ZIP:
Phone:
Cell Phone:
Property Information
Please describe the Crime or Incident with as much detail as possible.
*
List any known injuries, property damage, or loss.
*