Vandalism/Criminal Mischief/Graffiti Report

Demographics and Contact Information
Where did the vandalism occur?*

Type in name or physical address. If crime occurred off-campus, you must contact the agency responsible for the jurisdiction in which the crime occurred.
I am a*
Name*

First

Last
Date of Birth*

Month

Day

Year
Race*
Ethnicity*
Gender*
Phone*
CSU ID#
Email
Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Vandalism Window

An accurate time window assists our department in tracking patterns. Please be as accurate as possible.
Date Property Last Seen Undamaged*

MM slash DD slash YYYY
Time Property Last Seen Undamaged*

:
Hours

Minutes

AM/PM
Date Damage Noticed*

MM slash DD slash YYYY
Time Damage Noticed*

:
Hours

Minutes

AM/PM
Property Information
Property Description*

Enter detailed description of damaged property. Include all information you have such as specific location, direction, estimated value, color of spray paint, etc.
Estimated Cost of Damage*
Photograph Upload
Max. file size: 41 MB.

Please upload any photographs you have of the reported damage.
Additional Information

Add any additional information here.
Follow-Up

Officer may use this to contact you for any further information needed.
When is the best time to contact you?*
Preferred method of contact
- Email
- Phone
Signature*

First

Last

By signing above, you agree that any form of electronic signature may substitute for the original signature and shall have the same legal effects as the original signature and that the report and information is true to the best of your knowledge.

Demographics and Contact Information