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.

Campus Security Authority

Reporting Form

Save form to your desktop and then edit blank areas with your information then send it to Campus Safety as an e-mail attachment.


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