Home > The Jeanne Clery Act

CSA Crime Report Form

The federal Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act, otherwise known as the Clery Act, applies to certain crimes reported to the police and other College officials known as Campus Security Authorities (CSAs).  The Clery Act defines CSAs as mandated crime reporters.  CSAs are required to report, immediately, any crimes they become aware of to Dartmouth College Safety and Security (DoSS).

DoSS will use the submitted information to verify the appropriate crime classification, to issue Timely Warnings to the community when necessary, to compile statistics to be included in the Annual Security Reports which Dartmouth College publishes and distributes each year, and to maintain the Crime Log, all as required by the Clery Act.  If a crime has occurred recently, or you need help with this form, please call DoSS right away at (603) 646-4000.

Contact Information

Submitting is encouraged, but not required.
















Victim/Survivor Information

Submitting is encouraged, but not required.
















Dates





to







Please describe the exact location. Please provide street address, room number and floor level, if possible. Please describe if it happened inside a building, outside in the yard, or on the sidewalk/street.

































This form can be used to report any crime to the Dartmouth College Department of Safety and Security (DoSS) not required to be included in the Annual Security Report pursuant to the federal Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act. The college encourages reporting of all crimes to DoSS.

















Section H: Secondary Reporting