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Incident Report                                         MUBIT Handbook pdf

1) EMERGENCY Call: 734-432-5442 or 5442 (Campus phone)
2) Complete this On-Line Form or
3) Email: Emergency@madonna.edu

The Madonna University Behavioral Intervention Team developed this process in order to obtain information about and respond to crimes, harassment, mistreatment or suspicious activity and incidents on our campuses.

Date of Incident:
  Month Day Year
Approximate Time:
  hour minute am/pm
Location:
Nature of occurrence:
Additional comments: (i.e., potential witnesses, additional contact information, etc.):
Please note: you are completing the following questionnaire under a condition of anonymity. If you wish that we contact you please also complete the "Contact Information" section below. All information is kept confidential.
Contact Information:
Name:
Email:
Phone number:
Address:
Security Code
Please enter the security code you see:(required) 12349