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CSA Reporting Form

To assist the University of Tennessee in complying with the federally mandated Clery Act, this form should be utilized by Campus Security Authorities (CSA) to report crimes to the Clery Coordinator as soon as possible after a crime has been reported to the CSA. Under the Clery Act, a crime is reported to a CSA when a student, employee, or third party brings information about an alleged crime to the attention of the CSA and the CSA believes the report was made in good faith. The Clery Office will use the information provided in this form to classify the crime for purposes of inclusion in the University’s annual crime statistics.

If this is an emergency situation or something that may require immediate attention, please call the University of Tennessee Police (UTPD) (865) 974-3114 or 911.

Click here to complete your CSA Reporting Obligation.

We encourage you to report any crime information you receive directly to the University of Tennessee Police Department. Reporting as a Campus Security Authority to the Clery Compliance Coordinator is not a report to law enforcement or public safety.

If you are a mandatory reporter, sex offenses, domestic violence, dating violence, and stalking must be reported to the Office of Title IX. Survivors of sexual assault, domestic violence, dating violence, and stalking must be provided with written information on their rights and options, which the Title IX Office will ensure happens. The Title IX website also has helpful information, support, and resources for CSAs.

If you are unsure for any reason whether an incident should reported, please report the incident.