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Lackawanna College Silent Witness Form

Lackawanna College is committed to providing a safe environment for the college community. We understand that sometimes it can be difficult to come forward with information that you know could help aid us in keeping our campuses safe. If you know of or have heard of any crime/incident/violation that has occurred on or off campus involving Lackawanna College community members please fill out the form below.

If the crime is currently in progress do not use this form, but call Public Safety at 570-961-7899 or The Police at 911 immediately.

Please note that the information on this form will be kept CONFIDENTIAL. If you wish to be contacted by Public Safety please enter your contact information in the space provided at the bottom of the page.

Fields marked with * are required


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Type of Incident

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Where did the Incident Take Place?

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Describe the Incident.  Be as specific as possible. Include the exact location of where the incident took place (dorm room number, where off-campus, etc) if applicable.

Name of Suspect (If Known)

Location/Telephone Number of Suspect (If Known)

Description of Suspect

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Status on Campus of Suspect

Please List Any Others Who Were Involved or Witnessed the Incident

May We Contact You?


Name

Please Provide the Best Way to Reach You (Phone and/or Email)