Online Reporting
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Incident Type(s)
Reporting Persons
Involved Contacts
Incident
Vehicle
Property
Digital Media
Review
Finish
Requestor's IP Address : 18.219.95.244
Select Report Type for
Please select the report type:
Original or Supplemental.
Select
Report Type
Definition
Original
This is the first report you have filed for this incident.
Supplemental
You are adding information to a
previous report
which was
submitted online
.
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Original Online Report Number:
Select Incident Type(s)
Select
Incident Type
Definition
Examples
Injured Person / Injury
someone who sustained an injury
slip and fall, cut finger, etc
Lost Property
Lost property or material (id cards, phone, etc)
Medical Transport
Suspicious Activity
Information shared with MICA Campus Safety around or near campus. See Something ... Say Something
Select Reporting Person Type
Please select a proper person type according to the definition below.
Select
Person Type
Definition
Individual
If you are reporting this for yourself.
Business
If you are responsible for reporting this for your employer or your own business.
Enter Reporting Person Information
Please enter your information as completely as possible. You may be contacted regarding this incident. An email address is required if you would like to be notified when this report is received and approved.
Person Type:
EMPLOYEE
FACULTY
REPORTING PERSON
STUDENT
WITNESS
Employee ID:
First Name:
Middle Name:
Last Name:
Home Address:
City
 /
State
 /
Zip Code:
 /
Country
 ,
 ,
,
Home Phone:
Mobile Phone:
Email Address:
Email report to this address
Confirm Email:
Employer Name:
Work Address:
City
 /
State
 /
Zip Code:
/
Country
 ,
 ,
,
Work Phone:
Race:
0
A - ASIAN
BLK - BLACK
F
H - HISPANIC
I - AMERICAN INDIAN/ALASKIN NATIVE
N/A
O
OTHER
U - UNKNOWN
W - WHITE
Sex:
F
M
UNKNOWN
DOB:
April
2024
Driver License Number:
Licensing State:
Person Type
Name
Home Phone
Mobile Phone
Work Phone
Enter Involved Contact Information
Please enter your information as completely as possible. You may be contacted regarding this incident. An email address is required if you would like to be notified when this report is received and approved.
Person Type:
EMPLOYEE
FACULTY
REPORTING PERSON
STUDENT
WITNESS
Employee ID:
First Name:
Middle Name:
Last Name:
Home Address:
City
 /
State
 /
Zip Code:
/
Country
 ,
 ,
,
Home Phone:
Mobile Phone:
Email Address:
  
Email report to this address
Confirm Email:
Race:
0
A - ASIAN
BLK - BLACK
F
H - HISPANIC
I - AMERICAN INDIAN/ALASKIN NATIVE
N/A
O
OTHER
U - UNKNOWN
W - WHITE
Sex:
F
M
UNKNOWN
DOB:
Driver License Number:
Licensing State:
Person Type
Name
Home Phone
Mobile Phone
Work Phone
Enter Incident Information
Please enter all the information that applies. If you do not know the address of the incident, use the nearest intersection such as Market St./ 10th St. Please ignore previous instructions. LB
Street Address:
City
 /
State
 /
Zip Code:
/
Country
 ,
 ,
,
Incident Time (start):
Incident Time (end):
Have Vehicle Info to Enter?:
Yes
No
Have Property Info to Enter?:
Yes
No
Have Digital Media to Enter?:
Yes
No
Origin of Threat:
Incident Description:
(Characters Left)
Enter Vehicle Information
Please enter the Vehicle information.
Type:
AUTO
MOTORCYCLE
SUV
TRUCK
VAN
WAGON
Make:
ACURA
AUDI
BMW
CADILLAC
CHERROLET
CHRYSLER
DODGE
FERRARI
FIAT
FORD
FREIGHTLINER CORP
GENERAL MOTORS CORP
GEO
HONDA
HYUNDAI
INFINITI
INTERSTATE
JAGUAR
JEEP
JOHN DEERE
KAWASAKI
KIA
LAMBORGHINI
LAND ROVER
LEXUS
LINCOLN
MASERATI
MAZDA
MERCEDES
MERCURY
MINI
MITSUBISHI
NISSAN
OLDSMOBILE
PEUGEOT
PLYMOUTH
PONTIAC
PORSCHE
PRESTIGE
RANGE ROVER
RENAULT
ROLLS ROYCE
ROVER
SAAB
SATURN
SCION
SUBARU
SUZUKI
TOYOTA
TRIUMPH
UNIVERSAL
VALKRIE
VOLKSWAGON
VOLVO
YAMAHA
Model:
Year (YYYY) :
Color:
2005
ACK
ALIEN GREEN
ALUMINUM
AMETHYST (PURPLE)
APPLE RED
BABYBLUE/SILVER
BEIGE
BEIGE METALLIC
BEIGE/GOLD/TAN
BEIGE/GRAY
BERNSTEIN GOLD
BGE
BLACK
BLACK AND GRAY
BLACK W/ RED STRIPES
BLACK/GRAY
BLACK/SILVER
BLAVK
BLU
BLUE
BLUE AND WHITE
BLUE DARK
BLUE GRAY
BLUE GREEN
BLUE GREY
BLUE LIGHT
BLUE PEARL
BLUE SILVER
BLUE SILVER, GREY
BLUE, BLACK RACE STRIPES
BLUE-GRAY
BLUE/BLACK
BLUE/BRONZE
BLUE/GREEN
BLUE/SILVER
BLUE/TEAL
BLUEBERRY
BRICK RED
BRIGADE1TEST
BRIGADETEST
BRIGHT BLUE
BRONZE
BROWN
BURGANDY
BURGUNDY
BURGUNDY (PURPLE)
CAMOFLAUGE
CHAMPAGNE
CHAMPAINE
CHARCOAL
CHARCOAL GRAY
CHERRY
CHROME
CHROME OR STAINLESS STEEL
COBALT BLUE
COOL GREY
COPPER
CRANBERRY
CREAM
CREAM OR IVORY
CREAM/WHITE
DARK BLUE
DARK BLUE GREEN
DARK GRAY
DARK GREEN
DARK GREEN/TEAL
DARK GREY
DARK METALLIC GREY
DARK OLIVE GREEN
DARK PINK/MAGENTA
DARK RED
DARK SILVER
DK/ GRAY
DRK BLUE
DRK GREEN
FOREST GREEN
GOLD
GOLD ORANGE
GOLD/BLACK
GOLD/BROWN
GOLD/COPPER
GOLD/SILVER
GOLD/TAN
GOLD/WHITE
GOLDISH SILVER
GRAPHITE
GRAY
GRAY AND BLUE
GRAY GREEN
GRAY-GREEN
GRAY/ BLACK
GRAY/BLACK
GRAY/BLUE
GRAY/GREEN
GRAY/PURPLE
GRAY/SILVER
GRAY/TAN
GRAYISH BAIGE
GREEN
GREEN AND GOLD
GREEN DARK
GREEN LIGHT
GREEN TAN
GREEN-BLUE
GREEN-TAN
GREEN/GOLD
GREEN/SILVER
GREENBERRY
GREY
GRRRRRRRRR
GUN METAL
HEATHER MIST
HUNTER GREEN
ICY BLUE
ILVER
IVORY
KHAKI
LAVENDER
LAVENDER (PURPLE)
LGT BROWN
LIGHT BLUE
LIGHT GRAY
LIGHT GREEN
LIGHT MINT GREEN
MAROON
MAROON OR BURGU
MAROON OR BURGUNDY
MAUVE (PURPLE)
MD
METAL GREY
METALLIC BLUE
METALLIC BROWN
METALLIC GRAY
METALLIC GREEN
METALLIC LIGHT BLUE
METALLIC TAN
MILLENNIUM SILVER
MINERAL
MOCHA BROWN
MOTHER OF PEARL
MOTHER PURL
MULTICOLORED
N/A
NAVY
NAVY BLUE
NEON
OPAL SILVER BLUE
ORANGE
ORANGE-RED
ORANGE/BEIGE
PALE YELLOW
PAPRIKA
PEACH
PEARL GRAY
PEARLY
PEWTER
PINK
PINK/RED
PLUM
PRIME
PURPLE
PURPLE/VIOLET
RED
RED AND WHITE
RED/ORANGE
RED/WHITE
ROYAL BLUE
ROYAL BLUE PEARL
RUST
SAGE
SAND
SEA GREEN
SILVER
SILVER AND BLACK
SILVER AND GOLD
SILVER AND GREY
SILVER AND TAN
SILVER OR ALUMINUM
SILVER W CUSTOM FOX PAINT
SILVER W/ CUSTOM PAIN T-FOX
SILVER-GREEN
SILVER/ BLACK
SILVER/GREEN TINT
SILVER/GREY
SILVER/REDTOPPER
SILVR
SLARE
SLATE BLUE
STAINLESS STEEL
STEEL BLUE
STORMY GREY
SUPERWHITE
TAN
TAN / GREEN
TAN AND GREY
TAN/GOLD
TAN/GREEN
TANISH BROWN WITH SPARKLES
TAR
TAUPE
TAUPE (BROWN)
TEAL
TEAL (GREEN)
TOPAZ
TURQUOISE
TURQUOISE (BLUE)
UNITED GREY
UNK
UNKNOWN
VIOLET MIST
WHITE
WHITE NAVY BLUE
WHITE W/BLUE
WHITE W/GOLD TRIM
WHITE/BLACK
WHITE/BLUE FRONT FENDER
WHITE/GOLD TRIM
WHITE/GREEN
WINE
WINEBERRY
WINTERGREEN
YELLOW
YELLOW AND BLUE
License Plate Type:
AUTOMOBILE
BUS
MOTORCYCLE
SUV
License Plate Number:
(do not enter spaces)
Licensing State:
VIN:
(do not enter spaces)
Insurance Company Name:
Insurance Policy #:
Insurance Policy Expiration Date:
Enter Property Information
Please enter the Property information.
OwnerShip:
COMPANY
MICA
PERSONAL
Type:
ADVERTISEMENT
ALCOHOL
ART SUPPLIES
ART WORK
ATM BANK CARD
AUDIO/VISUAL EQUIP.
AUTO GATE HOUSING UNIT
AUTO GLASS
AUTOMOBILES
BACK PACK
BANK CARD
BEVERAGE
BICYCLE
BICYCLE LOCK
BICYCLE PART
BOOK
BRIEFCASE
CAMERA
CARRYALL
CASH
CELL PHONE
CELLPHONE ACCESSORY
CHAIN-LINKED-FENCE
CHECKS
CLOTHES
CLOTHES/FURS
CLOTHING
COINS
COMPUTER
COMPUTER EQUIPMENT
COMPUTER HARDWARE/SOFTWARE
CONSUMABLE GOODS
CONTAINER
CONTRABAND
COSTUMES
CREDIT CARDS/PERSONAL PAPERS
CREDIT/DEBIT CARDS
DEBT CARD
DENTAL HYGENE
DENTAL HYGIENE
DIGITAL CAMERA
DIGITAL PROJECTOR
DRIVERS LICENSE
DRUG/NARCOTIC EQUIPMENT
DRUGS/NARCOTICS
ELECTRONIC DEVICE
FABRIC
FOOD
FURNITURE
GLASS
GLASS DOOR
GLASS JARS
GLOVES
IDENTIFICATION
INFORMATION
JEWELRY
JEWELRY/PRECIOUS METALS
KEYS
L0CK
LAPTOP
LENS
LIBRARY MATERIAL
LIGHTS
LOCK
MANAUL
MANUAL
MEDICINES
MERCHANDISE
MONEY
MOTORIZED BIKE
MUSCIAL INSTRUMENT
MUSIC COMPACT DISCS
MUSIC DEVICE
N/A
OFFICE-TYPE EQUIPMENT
PHOTOGRAPHIC
PHOTOGRAPHIC EQUIPMENT
POURED CEMENT
PURSES/HANDBAGS/WALLETS
RADIOS/TVS/VCRS
RED DIGITAL CAMERA
SCHOOL SUPPLIES
SOUND SYSTEM
STRUCTURES
STRUCTURES - BUSINESS
STRUCTURES - OTHER
STRUCTURES - RESIDENTIAL
STUDENT ID CARD
TELEVISION
TENNIS SHOES
TOOLS
TRASH DUMPSTER
VARIOUS
VEHICLE PARTS/ACCESSORIES
WALLET
WATCH
WOOD
Subtype:
Brand:
Model:
Color:
BLACK
BLUE
GREEN
ORANGE
PINK
RED
YELLOW
Serial Number:
How Many:
Approx. Market Value ($):
Property Description:
Select Digital Media
Please select any digital media (pictures, documents or any digital data files) up to 2047 MB that are relevant to this incident.
File Name
Title
Description
Review Report
Please review the report. If all the information is correct, click the Continue button to submit the report. If you need to modify some information, click the desired modify link. This will be your last chance to change information for this report.
General Information:
Incident Type(s):
Reporting Person/Involved Contact Information:
Incident Information:
Incident Location:
Incident Time (start):
Incident Time (end):
Origin of Threat:
Incident Description:
Vehicle Information:
Type:
Make:
Model:
Year (YYYY):
Color:
License Plate Type:
License Plate Number:
Licensing State:
VIN:
Insurance Company Name:
Insurance Policy #:
Insurance Policy Expiration Date:
Property Information:
OwnerShip:
Type:
Subtype:
Brand:
Model:
Color:
Serial Number:
How Many:
Market Value($):
Property Description:
Digital Media:
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