Wisconsin's Public Liberal Arts College

Offline Reporting Forms


Campus Safety Office

Offline Reporting Forms

Annual Security and Fire Safety Report Availability Notice

A printable notice that our annual Security Report is available on our web site or by asking for a copy by contacting  Director Gulbrandson.

  • Sexual Assault Report Proxy Form
    • Save to desktop and edit blank areas with your information then print out and sign.
    • Bring the completed form to the Public Safety Office.

FOR STAFF AND STUDENT WORKERS:
 Workers Comp - Injury and Illness Report Form

    • Fill out the form then print out sign. 
    • Bring completed form to the Human Resources Office in Old Main Room #201.

    FOR ALL OTHERS:

  • Injury and Illness Report Form
    • Print out and fill in the blanks.
    • Bring the completed form to the Public Safety Office.
  • Injury and Illness Report Form 
    • Save to desktop and edit blank areas with your information then print out and sign.
    • Bring the completed form to the Public Safety Office.
  •  Record of Valuable Personal Items Form
    • Save to your desktop and then fill in the description, photo of item, and serial number blanks in the light yellow areas of the table. 
    • Save it again and then print it out for your records in case you should ever experience a personal property theft.
    • If a theft does occur, let Campus Safety know you have it for the case file.
    • We have a Dremel Engraver that we can use to engrave identifying marks on your valuable items.
  • Citizen's Crime Report Form for hand-writing.
  • Citizen's Crime Report Form for typing.
    • Save to desktop and edit blank areas with your information then print out and sign.
    • Bring the completed form to the Public Safety Office.
  • Registered Bicycle Theft Report
    • Save to desktop and edit blank areas with your information then print out and sign.
    • Bring the completed form to the Public Safety Office.

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