CSA Crime Report Form
As part of the federal Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act (20 USC § 1092(f)), otherwise known as the Clery Act, Act qualifying incidents reported to University Police, from various sources, including Campus Security Authorities (CSA), are required to be annually published in an Annual Security Report and made available to the campus community. One purpose of the Clery Act is to encourage the reporting and collection of accurate campus crime statistics to promote crime awareness and enhance campus safety. The information collected from these forms will be used to compile statistics to be included in the Annual Security Reports that Northwestern University publishes and distributes each fall.
On a timely basis, CSA's are obligated to report Clery Act qualifying crimes however, are encouraged to report all crimes reported to them to University Police. CSA's should only report those crimes that have not been previously reported to University Police or another University CSA. To review information on reportable Clery Act crimes, reportable disciplinary referrals and/or the Clery Act incident occurrence locations that are reportable, please refer to the Clery Act Definitions / Campus Security Authority (CSA)Reporting sheet (PDF). For additional information on the Clery Act and CSA responsibilities, visit the Campus Security Authority web page or contact the Clery Act Coordinator at 847-491-3752.
Campus Security Authority Incident Report Form
Do not provide name / contact information if the person reporting the incident requests confidentiality.
The CSA is to document as much of the requested information on the Form, excluding identity if confidentiality is requested, as s/he knows. University Police will use the submitted information to verify the appropriate classification of the crime.