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Central Virginia Community College
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Incident Report Form

To report an incident to the Chief of Police, please fill in the information below and click on the submit form button. Click on the reset form button to clear the information entered into the form. Contact information is not required.

All information will be kept CONFIDENTIAL!

Incident Report (Items in bold are required)
Select Level of Privacy Full Name
Email Address Phone Number
Date of Incident Time of Incident Location of Incident
Name of Officer
Comments
          

FOR MORE INFORMATION:

Click one of the following links:

Contact the Campus Police:
Central Virginia
Community College

3506 Wards Road
Lynchburg VA 24502-2498

Phone: 434.832.7700

Located in Amherst Hall, Room 2120