Report an Incident or Concern

***The report will only be checked during regular University business hours, for emergencies, please contact the University of West Georgia Police at 678-839-6000.***

If you have a concern about the behavior of a student that you would like the university to follow up on, complete and submit this report. Please complete the following information for the student about whom you are making this report. Please answer to the best of your knowledge. If you do not know some of the answers, just leave those sections blank.

An asterisk (*) indicates a required field.

Student Information

Student ID Number
Student's Full Name*
Where does the student live?
On Campus	Off Campus

Please complete the following information about you (the reporter)

I prefer to make this an anonymous report: Yes No

I am a: UWG faculty/staff UWG student Other

Please provide a detailed description of the incident or concern
using specific and objective language*.

You may be contacted if additional
information is needed.

Please call (678) 839-6423 with any additional questions.

Your Name
Your Title
Your Phone
Your Email Address

Your Name
Your Student ID (917#)
Your Phone
Your Email Address

Your Name
Your Address
Your Phone
Your Email Address

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Report an Incident or Concern