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Student Affairs

Student Conduct

Report Misconduct

Misconduct Form

Please fill out the following form completely.

For incidents involving Washington State University Students

Date of Incident
Time of Incident
Location
First Name
Last Name
Local Address
City
State
Zip
Local Phone
Email
You are:	SELECT ONE WSU Faculty WSU Student WSU Staff Community Member Other
People Involved (Name, Address, Phone)
Has this incident been reported to the police?	SELECT ONE Yes No
If so, which police department?
You are referring this information to the Office of Student Conduct for what reason?
Please describe what took place:
	By submitting this form, I hereby acknowledge that (1) the information provided in this report is complete and true to the best of my knowledge and (2) 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 jusridiction 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. Reports involving criminal behavior will be provided to the Washington State University Police Department for proper referral.