HSHSL Incident Report

Submit an Incident Report form to describe any injury, property damage, security occurrence, or unruly behavior at the HSHSL. The report, which contains a detailed and factual description of the incident, is submitted AFTER the incident has occurred.

• If you need immediate assistance, call 911 for emergencies.
• Contact the UMB's Title IX Office to report a concern regarding misconduct, discrimination/harassment, and more.
• Always complete an incident report when UMB Campus Police, Baltimore City Police, or 911 is called.

* - Indicates required fields.

Submit an Incident Report

* Your Name:

* Your Email Address:

* Date of the Incident:

Time of the Incident:

* Description of the Incident:

(Please provide a detailed description of the incident, including names, facts, etc.)

* Witnesses to the Incident:

(Please provide names and contact information of witnesses.)

Action Taken:

* To whom or to which office was the incident reported?

Supervisor

* Name of Supervisor:

Information Services Desk

Campus Police

Other

* To whom or to which office was the incident reported?

N/A

* Location of Incident:

Plaza or HSHSL outside area

* Where outside the HSHSL?

Security Officer's Desk

Information Services Desk

First Floor

* Where on the First Floor?

Second Floor

* Where on the Second Floor?

Third Floor

* Where on the Third Floor?

Fourth Floor

* Where on the Fourth Floor?

Fifth Floor

* Where on the Fifth Floor?

Penthouse

Lower Level

* Where on the Lower Level?

Loading Dock Area

Other

* Describe Location of Incident:

Photographs or Other Documentation:

(Please zip multiple photos/documents into a single file for upload)

* What is the most common color of grass?

(to prove you are a human)

Submit