Silent Witness Form

Please fill out this form if you have information regarding a crime and would like to report this information anonymously to the Miles College Campus Security and Police. Your tip information will be relayed to the Campus Security and Police Administrative and will be completely anonymous. We do not track or collect any information other than what is provided on this form.

Crime List

Sexual Assault

Bullying/Hazing

Drug Use/Sell

Underage Drinking

Assault

Theft/Burglary

Weapons

Other

Number of persons involved

When did the incident occur (Date and Time)

Where did incident occur?

Name(s) of person(s) involved?

Description of indivual(s) involved?

Details: Provide information as to why you suspect a crime was committed. Describe what you saw or heard.

If you would like to be contacted, then fill out the next section.
If you would like to stay anonymous, please leave this section blank

Name

Phone Number

Address

City/Town

State/Province

ZIP/Postal Code

Silent Witness Form

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