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911 Emergency
(920) 424-1212
(920) 424-0128

Location:
738 High Ave
Oshkosh, WI 54901

Mailing Address:
800 Algoma Blvd.
Oshkosh, WI 54901

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Bias Motivated Incident or Crime Reporting Form

Purpose: The purpose is to track the nature of bias motivated incidents on and off the UW Oshkosh campus in an effort to prevent future behaviors and to help maintain a positive learning, living and working environment within our community. Examples may include but are not limited to the use of degrading language or slurs, spoken or written directed at woman, men, gays, lesbian, racist, anti-semitic, etc. Incidents that rise to the level of a crime should also be reported to University Police. This form does not take the place of reporting a crime to law enforcement.
  • What date did the incident occur?
  • :
    What was the approximate time that the incident occurred?
  • Where did the incident occur?
  • Building name, parking lot number, classroom within a building, etc...
    Please select all that apply.
  • *an acquaintance is someone the victim would define as "not a stranger" and is in some way known to the victim
    Please select all that apply.
    Check all that apply.
  • Do you know if alcohol and/or other substances were involved?

  • Additional Information Gathering

  • The Campus Victim Advocate provides you with support and information about your legal and disciplinary options. Advocates can attend medical or legal appointments with you, speak up for your rights in any community or campus actions you might choose to pursue; provide you with ongoing support and information, and help with "safety planning", such as filing restraining or no-contact orders and making changes in your residence hall or classes to avoid contact with the person who hurt you.
  • Contact Information

    If the victim would like to speak with a victim advocate, please include name and contact information below. Anonymous reporting is allowed, but we would encourage you to provide your contact information below. A report submitted anonymously will be reviewed and kept on file. Any follow-up on anonymous reports will be done at the discretion of the Office of the Vice Chancellor for Student Affairs/Dean of Students. Please complete the following information, if known (All information is optional, however, confidential reporting of identifying information is encouraged to allow the University to best address the problems identified)
  • Reporting Person

  • If "yes" to this question and if you're okay with providing your address, please do so in the "Victim" section below.
  • Victim

  • Offender Information

    Please provide as much detail as possible below as this will help us determine who the offender is and give us more potential for follow-up.
  • Offender One

  • What is their approximate height, weight and hair color? Do you have a clothing description or a consistent place where you have noticed this person? Use this section to provide any information that can help us determine who the offender is.
  • Offender Two

  • What is their approximate height, weight and hair color? Do you have a clothing description or a consistent place where you have noticed this person? Use this section to provide any information that can help us determine who the offender is.
  • Offender Three

  • What is their approximate height, weight and hair color? Do you have a clothing description or a consistent place where you have noticed this person? Use this section to provide any information that can help us determine who the offender is.