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Security Incident, Crime or Witness Statement
Security Incident, Crime or Witness Statement
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•Crime Against Person or Damage to Property
•Suspicious Activity
•Witness Statement
•DMACC Vehicle Accident
Phone Number
DMACC ID#
This is your 9-digit 900/901 number assigned to DMACC Staff and Students.
Title/Role
Examples: Student, Faculty, or Staff
Date and Time of Incident
(mm/dd/yyyy hh:mm AM/PM)
Campus Location
What was the campus or success center you were at during the incident?
Specific Location
Building number, Room number, and other details of the location.
Statement
The full details of a ticket, including any appropriate circumstances or supplementary information that may aid in resolving it.
Attachment
File attachments associated with the ticket.
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Other Fields
Your name
Your first name
Your last name
Your email address
Verification Code