Forms

Report an Incident

(Safety)

Use the form below to report a crime, Title IX violation, or other incident. We will review and contact you shortly.  If you have been the victim of a crime, CCMS strongly encourages you to file a police report.  Springfield Township Police Department’s phone number is 513-729-1300. If you have been the victim of a sexual or interpersonal offense, you are encouraged to seek immediate medical assistance. If this is an emergency, call 9-1-1.

Reporting Person Contact Information

If you answer "yes," your name/contact information will not be associated with this report.

Name/Contact Information

Incident Information

Time of incident (if known)

List any witnesses who were present or may be able to provide relevant information:

Certification & Signature

I hereby certify that the information I have provided is true and correct to the best of my knowledge.