Student Statement Report Form

In detail, please describe the entire incident that occurred from your personal perspective. Only state what you observed happened; i.e. give specific actions, specific quotes, specific times, etc. Do not include assumptions about what took place, only what you can recall.

There is no need to quote The Student Code of Conduct or what policies you believe were violated, The Office of Judicial Affairs will determine that.  

I understand that by completing and signing this report, I am stating that what is contained here is true to the best of my knowledge. I also expect that the university will take whatever action is deemed necessary to correct the problem identified in this report. I will be willing to back this report with testimony, if necessary.