Student Conduct Home
For incidents involving UNLV students
Date of Incident:
Time of Incident:
Include first and last name, L# (if known), gender, and student contact information (if known) for each individual.
Witnesses Involved (if any):
Include first and last name, L# (if any), gender, and contact information (if known) for each witness.
Description of Incident:*
Please be as detailed as possible stating the facts.
Description of Incident:
Has this incident been reported to the police?
If yes, which police department:
Police Report Number:
L Number (if any):
If you answered "Other" above, please explain here:
By submitting this form, I hereby acknowledge that the information provided in this report is accurate to the best of my knowledge and that the Office of Student Conduct will review the incident to determine an appropriate response. I am aware that the Office of Student Conduct maintains final jurisdiction over the referral of student disciplinary matters. Anyone intentionally providing false or inaccurate information through an Incident Report Form will face appropriate disciplinary and/or legal action at the discretion of the Office of Student Conduct.
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