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The Office of
University Compliance and Integrity

Clery

Campus Security Authority Incident Report Form

Please submit a completed form for each report you have received for incidents listed below that were not or may not have been reported to the OSU Police Division. If you are in doubt about whether an incident is reportable, please err on the side of reporting the matter, regardless of whether an arrest was made (except as noted below). Definitions of offenses can be found below this form.

Incident Information

Incident Reported
Incident Occurred (if known)
Location of Incident

Please refer to the definitions below for assistance in selecting the correct incident location.






Brief Description of Incident:
Reporting Party
Type of Incident

Please refer to the definitions below for assistance in selecting the correct type of incident. (Please check all that apply.)

















Hate Crimes

Hate crime information is required to be reported for each of the following offenses which are motivated, in whole or in part, by the offender’s bias. If the incident reported above includes a hate crime, please complete these additional questions for that incident. (Please check all that apply.)






















Your Information

Thank you for submitting a CSA Incident Report Form. By hitting the 'Report an incident' button below, you indicate that the information above is complete and accurate to your knowledge. Upon submission, this form will be forwarded to The Office of University Compliance and Integrity at clery@osu.edu. This form may also be forwarded to Police as appropriate. If a victim's name is identified in this report, and you know the victim's preference, or if you are the victim, please indicate below preferences regarding further communication from the police.

I or the victim would like OSUPD to contact me or them
I or the victim would prefer that OSUPD not contact me/them, if possible
I am not the victim and I am unsure if the victim would like OSUPD to contact them
I did not identify the victim in this report

Incident Definitions
Murder/Non-Negligent Manslaughter
The willful (non-negligent) killing of one human being by another. NOTE: Deaths caused by negligence, attempts to murder, assaults to murder, suicides, accidental deaths, traffic fatalities, and justifiable homicides are excluded.
Negligent Manslaughter
The killing of another person through gross negligence.
Rape
The penetration, no matter how slight, of the vagina or anus with any body part or object, or oral penetration by a sex organ of another person, without the consent of the victim.
Fondling
The touching of the private body parts of another person for the purpose of sexual gratification, without the consent of the victim, including instances where the victim is incapable of giving consent because of his/her age or because of his/her temporary or permanent mental incapacity.
Incest
Sexual intercourse between persons who are related to each other within the degrees wherein marriage is prohibited by law.
Statutory Rape
Sexual intercourse with a person who is under the statutory age of consent.
Robbery
The taking or attempting to take anything of value from the care, custody or control of a person or persons by force or threat of force or violence and/or by putting the victim in fear. Attempted robberies are included in this category.
Aggravated Assault
An unlawful attack by one person upon another for the purpose of inflicting severe or aggravated bodily injury. This type of assault usually is accompanied by the use of a weapon or by means likely to produce death or great bodily harm. It is not necessary that injury result from an aggravated assault when a gun, knife or other weapon is used which could or probably would result in a serious potential injury if the crime were successfully completed. Attempts or assaults to murder and assaults are included in this category.
Burglary
The unlawful entry of a structure to commit a felony or a theft. For reporting purposes this definition includes: unlawful entry with intent to commit a larceny or a felony; breaking and entering with intent to commit a larceny; housebreaking; safecracking; and all attempts to commit any of the aforementioned. Attempted burglaries are included in this category.
Motor Vehicle Theft
The theft or attempted theft of a motor vehicle. (Classify as motor vehicle theft all cases where automobiles are taken by persons not having lawful access, even though the vehicles are later abandoned - including joy riding.) Attempted motor vehicle thefts are included in this category.
Arson
The willful or malicious burning or attempt to burn, with or without intent to defraud, a dwelling house, public building, motor vehicle or aircraft, or personal property of another kind. Attempts to burn are included in this category. Arsons must be reported to and investigated by law enforcement or other fire authority.
Dating Violence
Violence committed by a person— (A) who is or has been in a social relationship of a romantic or intimate nature with the victim; and (B) where the existence of such a relationship shall be determined based on a consideration of the following factors: (i) The length of the relationship; (ii) The type of relationship; (iii) The frequency of interaction between the persons involved in the relationship.
Domestic Violence
A felony or misdemeanor crime of violence committed by a current or former spouse or intimate partner of the victim, by a person with whom the victim shares a child in common, by a person who is cohabitating with or has cohabitated with the victim as a spouse or intimate partner, by a person similarly situated to a spouse of the victim under the domestic or family violence laws of the jurisdiction receiving grant monies, or by any other person against an adult or youth victim who is protected from that person’s acts under the domestic or family violence laws of the jurisdiction.
Stalking
Engaging in a course of conduct directed at a specific person that would cause a reasonable person to— (A) fear for his or her safety or the safety of others; or (B) suffer substantial emotional distress.
Hate Crimes
Hate Crime

A criminal offense that manifests evidence that the victim was intentionally selected because of the perpetrator’s bias against the victim

We are also required to report statistics for bias-related (hate) crimes by the type of bias as defined below for the following classifications: murder/non-negligent manslaughter, negligent manslaughter, sex offenses (rape, fondling, incest, statutory rape), robbery, aggravated assault, burglary, motor vehicle theft, arson, (see definitions above) and simple assault, larceny-theft, destruction/damage/vandalism of property, intimidation(see definitions below), and any other crime involving bodily injury.

Simple Assault
An unlawful physical attack by one person upon another where neither the offender displays a weapon, nor the victim suffers obvious severe or aggravated bodily injury involving apparent broken bones, loss of teeth, possible internal injury, severe laceration or loss of consciousness.
Larceny-Theft
The unlawful taking, carrying, leading, or riding away of property from the possession or constructive possession of another.
Destruction/Damage/Vandalism of Property
To willfully or maliciously destroy, damage, deface, or otherwise injure real or personal property without the consent of the owner or person having custody or control of it.
Intimidation

To unlawfully place another person in reasonable fear of bodily harm through the use of threatening words and/or other conduct, but without displaying a weapon or subjecting the victim to actual physical attack.

If a hate crime occurs where there is an incident involving intimidation, vandalism, larceny, simple assault or other bodily injury, the law requires that the statistic be reported as a hate crime even though there is no requirement to report the crime classification in any other area of the compliance document.

A bias-related (hate) crime is not a separate, distinct crime, but is the commission of a criminal offense which was motivated by the offender's bias. For example, a subject assaults a victim, which is a crime. If the facts of the case indicate that the offender was motivated to commit the offense because of his bias against the victim's race, sexual orientation, etc., the assault is then also classified as a hate crime.

Arrests
For the following offenses, only arrests should be reported:
Liquor Law Violations
The violation of laws or ordinance prohibiting: the manufacture, sale, transporting, furnishing, possessing of intoxicating liquor; maintaining unlawful drinking places; bootlegging; operating a still; furnishing liquor to minor or intemperate person; using a vehicle for illegal transportation of liquor; drinking on a train or public conveyance; all attempts to commit any of the aforementioned. (Drunkenness and driving under the influence are not included in this definition.)
Drug Abuse Violations
Violations of state and local laws relating to the unlawful possession, sale, use, growing, manufacturing, and making of narcotic drugs. The relevant substances include: opium or cocaine and their derivatives (morphine, heroin, codeine); marijuana; synthetic narcotics (Demerol, methadones); and dangerous non-narcotic drugs (barbiturates, Benzedrine).
Weapon Law Violations
The violation of laws or ordinances dealing with weapon offenses, regulatory in nature, such as: manufacture, sale, or possession of deadly weapons; carrying deadly weapons, concealed or openly; furnishing deadly weapons to minors; aliens possessing deadly weapons; all attempts to commit any of the aforementioned.
Location of Incident Definitions
On Campus

Any building or property owned or controlled by an institution within the same reasonably contiguous geographic area and used by the institution in direct support of, or in a manner related to, the institution's educational purposes, including residence halls; and Any building or property that is within or reasonably contiguous to the area identified in paragraph (1) of this definition, that is owned by the instituion but controlled by another person, is frequently used by students, and supports institutional purposes (such as a food or other retail vendor). State ownership constitutes control for state institutions

  • Controlled by means that your insitution (or an institution associated entity) directly or indirectly rents, leases or has some other type of written agreement (including an informal one, such as a letter or an e-mail) for use of a building or property, or a portion of a building or property. Even if there is no payment involved in the transaction for Clery Act purposes, a written agreement for the use of space gives your institution control of that space for the time period specified in the agreement.
On-Campus Student Housing Facility

Any student housing facility that is owned or controlled by the institution, or is located on property that is owned or controlled by the institution, and is within the reasonably contiguous geographic area that makes up the campus is considered an on-campus student housing facility, including Official Greek chapter houses

  • Reasonably contiguous refers to a building or property your institution owns or controls that's in a location that you and your students consider to be, and treat as, part of your campus.
Non campus
Any building or property owned or controlled by a student organization that is officially recognized by the institution, including Official Greek chapter houses; or any building or property owned or controlled by an institution tha tis used in direct support of, or in relation to, the institution's educational purposes, is frequently used by students, and is not within the same reasonably contiguous geographic area of the institution.
Public Property
All public property, including thoroughfares, streets, sidewalks, and parking facilities, that is within the campus, or immediately adjacent to and accessible from the campus.
Off campus
Any property or location that does not fall into one of the categories above, e.g. private residence, private business establishment, off-campus spaces to which the public has free and unrestricted access.
Unknown
The reporting party did not know or would not disclose the location of the incident.