Campus Security Authority Crime Report Form

Relationship Between Reporter and Victim?

Does the victim wish to remain anonymous?

What Clery crime(s) occurred? (select all that apply)

Are you aware of the incident being reported to any law enforcement agency or to another CSA?

Did the incident occur (if known)?

This form is only for Campus Security Authorities to report a Clery crime. Any other crime reporting should be submitted to the University Police department by calling (216) 687-2020.

Hours of Operation
File a Police Report or
Request a Safety Escort: 24hrs/7days
Fingerprints M-F, 9a-5p
Records Room: M-Th, 8a - 2p

Mailing Address
Cleveland State University Police Department
2121 Euclid Avenue, CS
Cleveland, OH 44115-2214

Campus Location
Campus Safety Building
1840 Chester Avenue
Cleveland, OH 44114
Phone: (216) 687-2020

Fax: (216) 687-5144

police@csuohio.edu