Page 1 of 1

Crime Reporting Form

Use this form to report crimes, incidents, or concerns on campus or in connection with Meridian University activities. Reports may be submitted anonymously and are reviewed by the Legal Affairs Team for statistical and compliance purposes. If you provide contact information, a staff member may follow up as appropriate.
In any emergency situation, always call 911 first. For non-emergency questions or to follow up, contact [email protected]

Reporter Information (optional)

Name

Email

Role at Meridian

Incident Information

Date of incident

Time of incident

Location

Please indicate where the incident occurred

What type of incident are you reporting? Select all that apply

What type of incident are you reporting? Select all that apply

Description of the Incident

Upload any documents, photos, or other evidence you wish to include (optional):

Acknowledgement

Acknowledgement