James Madison University Campus Security Authority Crime Report Form for Electronic Submission

* Required

Section A: Introduction

Originally known as the Campus Security Act, the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act (20 USC § 1092(f)) is the landmark federal law that requires colleges and universities across the United States to disclose information about crime on and around their campuses. The Clery Act applies to certain crimes reported to the police and other University officials known as Campus Security Authorities (CSA's). CSA's are federally mandated crime reporters. As such, CSA’s shall report, on a timely basis, any Clery Act qualifying crime occurring on Clery geography that they are made aware of to the James Madison University Police Department. University Police will use the submitted information to verify the appropriate classification of the crime, (it is important for CSA's to document sufficient incident detail to allow University Police to properly classify the crime type).This information additionally is used to determine if a Timely Warning/Community Alert should be issued. Timely warning notifications are sent to notify the campus community in the event that a situation arises on Clery geography which encompasses the JMU campus, noncampus property (property owned/controlled by the University or a recognized student organization not on the main campus), and public property (property within or immediately adjacent to campus) that, in the judgment of the Chief of Police or his designee, after reviewing the facts and circumstances of the incident, constitutes an ongoing or continuing threat to the campus community. For this reason, CSA's should report Clery reportable crimes as they become aware of them

All Campus Security Authorities will also be contacted annually, be provided training and provide documentation of adherence to these federal mandates. This form provides documentation.

Crime Reporting – It is the policy of James Madison University to ensure that the victims and witness to crimes are aware of their right to report criminal acts to the police. CSA’s should ask reporting party if they would like to report the crime to police. If the reporting party wants the police contacted, the CSA should help contact the police in the jurisdiction of the crime.

Some crimes documented by a secondary reporting agency will be automatically forwarded to the JMU Police Department. Secondary Reporting Agency(s) reporting directly to the JMU Police Department include the JMU Office of Accountability and Restorative Practice (OSARP), Title IX, and the Office of Residence Life. No further documentation is necessary if the incident has been previously reported.

Anonymity – If a crime reporting party requests anonymity, this request must be honored to the extent permitted by law. Accordingly, no information should be included on this form that would personally identify the victim without his/her consent.

CSA's reporting a victim reported incidence of sexual violence or harassment are encouraged to print and provide the reporting victim the JMU Complainants Rights Information.

Submission – To send the completed report form electronically, please click on the submit button when directed. You may also forward this information non-electronically  to: Lisa Carickhoff Clery Compliance, 821 South Main Street, MSC 6810 Harrisonburg, VA 22807; or FAX to JMU Police Clery Compliance at (540-568-7926); or email to caricklt@jmu.edu  by completing this form Clery Incident Report Form.

Clery Crime Definitions

Criminal Homicide
Murder and Non-negligent Manslaughter
– The willful (non-negligent) killing of one human being by another.

Manslaughter by Negligence – The killing of another person through gross negligence.

Sexual Assault – An offense that meets the definition of rape, fondling, incest, or statutory rape as used in the FBI’s Uniform Crime Reporting (UCR) programs. Per the National Incident-Based Reporting Systems User Manual from the FBI UCR Programs, a sex offense is“any sexual act directed against another person, without the consent of the victim, including instances where the victim is incapable of giving consent.”

Rape - The penetration, no matter how slight, of the vagina or anus with any body part or object, or oral penetration by a sex organ of another person, without the consent of the victim.

Fondling - The touching of the private body parts of another person for the purpose of sexual gratification, without the consent of the victim, including instances where the victim is incapable of giving consent because of his/her age or because of his/her
temporary or permanent mental incapacity.

Incest – Sexual intercourse between persons who are related to each other within the degrees wherein marriage is prohibited by law.

Statutory rape –Sexual intercourse with a person who is under the statutory age of consent.
                  

Dating Violence - Violence committed by a person - who is or has been in a social relationship of a romantic or intimate nature with the victim; and where the existence of such a relationship shall be on the reporting party’s statement and with consideration of the length of the relationship, the type of relationship , and the frequency of interaction between the person involved in the relationship. For the purposes of this definition, dating violence includes, but is not limited to, sexual or physical abuse or the threat of such abuse and does not include acts covered under the definition of domestic violence.

Domestic violence –A felony or misdemeanor crime of violence committed by; a current or former spouse or intimate partner of the victim; by a person with whom the victim shares a child in common; by a person who is cohabitating with or has cohabitated with the victim as a spouse or intimate partner; by a person similarly situated to a spouse of the victim under the domestic or family violence laws of the jurisdiction in which the crime of violence occurred, or by any other person against an adult or youth victim who is protected from that person’s acts under the domestic or family violence laws of jurisdiction in which the crime of violence occurred.

Stalking - Engaging in a course of conduct directed at a specific person that would cause a reasonable person to – fear for person’s safety or the safety of others; or suffer substantial emotional distress. For the purposes of this definition, course of conduct means two or more acts, including, but not limited to, acts which the stalker directly, indirectly , or through third parties, by any action, method, device , or means follows, monitors, observes, surveils, threatens, or communicates to or about, a person, or interferes with a person’s property; reasonable person means a reasonable person under similar circumstances and with similar identities to the victim; and  substantial emotional distress means significant mental suffering or anguish that may, but does not necessarily, require medical or other professional treatment or counseling.

Robbery - The taking or attempting to take anything of value from the care, custody, or control of a person or persons by force or threat of force or violence and/or by putting the victim in fear.

Aggravated Assault – An unlawful attack by one person upon another for the purpose of inflicting severe or aggravated bodily injury. This type of assault is usually accompanied by the use of a weapon or by means likely to produce death or great bodily harm. (It is not necessary that injury result from an aggravated assault when a gun, knife or other weapon is used which could and probably would result in serious personal injury if the crime were successfully completed. Aggravated assault includes poisoning (date rape drug, etc.)

Burglary – The unlawful entry of a structure to commit a felony or a theft.

Motor Vehicle Theft – The theft or attempted theft of a motor vehicle. (Classify as motor vehicle theft all cases where automobiles are taken by persons not having lawful access even though the vehicles are later abandoned-including joyriding.)

Arson – Any willful or malicious burning or attempt to burn, with or without intent to defraud, a dwelling house, public building, motor vehicle or aircraft, personal property of another, etc.

Hate Crimes – Any crime that manifests evidence that the victim was intentionally selected because of actual or perceived bias against race; gender; gender identity, religion; sexual orientation; ethnicity, national origin or disability. This includes murder and nonnegligent manslaughter, negligent manslaughter, sex offenses, robbery, aggravated assault, burglary, motor vehicle theft, arson, and also larceny-theft, simple assault, intimidation, and destruction/damage/ vandalism of property.

Simple Assault – An unlawful physical attack by one person upon another where neither the offender displays a weapon, nor the victim suffers obvious severe or aggravated bodily injury involving apparent broken bones, loss of teeth, possible internal injury, severe laceration or loss of consciousness. (Currently, this crime category only applies to hate crimes.)

Larceny-Theft - The unlawful taking, carrying, leading, or riding away of property from the possession or constructive possession of another. Attempted larcenies are included. (Currently, this crime category only applies to hate crimes.)

Destruction/Damage/Vandalism of property- To willfully or maliciously destroy, damage, deface or otherwise injure real or personal property without the consent of the owner or the person having custody or control of it. (Currently, this crime category only applies to hate crimes.)

Intimidation - To unlawfully place another person in reasonable fear of bodily harm through the use of threatening words and/or other conduct, but without displaying a weapon or subjecting the victim to actual physical attack. (Currently, this crime category only applies to hate crimes.)

The Clery Act also requires disclosure of statistics for liquor law violations, drug law violations, and weapons possession. Reports of these violations are made differently, and reflect the total number of individuals arrested or referred for campus disciplinary action, rather than total number of incidents.

Liquor Law Violation – The violation of federal, state and local laws or ordinances prohibiting the manufacture, sale, purchase, transportation, possession or use of alcoholic beverages, not including driving under the influence and drunkenness.

Drug Law Violation – The violations of laws prohibiting the production, distribution, and/or use of certain controlled substances and the equipment or devices utilized in their preparation and/or use. The unlawful cultivation, manufacture, distribution, sale, purchase, use possession, transportation or importation of any controlled drug or narcotic substance. Arrests for violations of state and local laws, specifically those relating to unlawful possession, sale, use, growing, manufacturing and making of narcotic drugs.

Weapon Law Violation – The violation of laws or ordinances prohibiting the manufacture, sale, purchase, transportation, possession, concealment, or use of firearms, cutting instruments, explosives incendiary devices, or other deadly weapons.

Disciplinary Referrals – The referral of any person to any campus official who initiates a disciplinary action of which a record is kept and which may result in the imposition of a sanction.

Geography These offenses must be reported according to their occurrence in the following Clery locations, or geographic categories:

Campus – (i) any building or property owned or controlled by an institution within the same reasonably contiguous geographic area and used by the institution in direct support of, or in a manner related to, the institution's educational purposes, including residence halls; and (ii) any building or property that is within or reasonably contiguous to the area identified in paragraph (i) of this definition, that is owned by the institution but controlled by another person, is frequently used by students and supports institutional purposes (such as a food or other retail vendor).

NonCampus/ Affiliated – (i) Any building or property owned or controlled by a student organization that is officially recognized by the institution; or (ii) any building or property owned or controlled by an institution that is used in direct support of, or in relation to the institution's educational purposes, is frequently used by students, and is not within the same reasonably contiguous geographic area of the institution.

Public Property –"public property" is defined by the Clery Act regulations as all public property including thoroughfares, streets, sidewalks, and parking facilities that is within the campus, or immediately adjacent to and accessible from the campus. Include the sidewalk across the street from your campus, but do not include public property beyond the sidewalk.

Section B: CSA Contact Information

First Name *

Middle Initial

Last Name * 

Phone Number

E-mail Address * 

Did you view the Campus Security Authority Training power point? Please document. This is required only for annual submission verification.

Please review the PowerPoint training. (If you would like additional training or have questions please contact Clery Compliance Officer at caricklt@jmu.edu)

  • Yes

Do you have a Clery reportable crime to report? *

 

  • No
  • Yes

If you have a Clery Reportable Crime Continue to Section C. If not submit you are finished.


Section C: Is this a Secondary Report?

Secondary Reporting Agency(s) the incident has also been reported to for documentation

The Office of Student Accountability and Restorative Practice, Title IX, and the Office of Residence Life supply documentation of all Clery crimes reported to them. If a report has been made to them please indicate as these crimes have been documented and been forwarded. No further documentation is needed. All other incidents need to be reported.

  • JMU Office of Student Accountability and Restorative Practice
  • Title IX
  • Office of Residence Life
  • None
  • Other:

Case Number

If Known

Law Enforcement Agency(s) The Incident Has Also Been Reported To:

  • James Madison University Police Department
  • Harrisonburg Police Department
  • Rockingham County Sheriff's Office
  • Virginia State Police
  • Virginia Department Of Alcohol Beverage Control
  • Other:

Case Number

If Known

The Campus Security Report Form

Campus Security Authorities (CSA’s) shall report, on a timely basis, any Clery Act qualifying crimes occurring on Clery geography that they are made aware of to the James Madison University Police Department. University Police will use the submitted information to verify the appropriate classification of the crime. It is important for CSA’s to document sufficient incident detail to allow University Police to properly classify the crime type.

Section D: When did it happen?

Date Crime Reported to CSA

Crime Occurrence Date

If Single Date

Crime Occurrence over a Period of Time

First Occurrence

Last Occurrence

Section E: Crime Occurrence Location

Crime Occurrence Location

Please provide building name, address, street name with cross streets or close address, or nearby buildings if it occurred outside. Consult Clery Reportable Geography and Clery map as necessary.

Location Classification

  • On-Campus
  • On-Campus Residence Halls
  • Non-Campus (University Leased Or Controlled Off-Campus Property)
  • Public Property (Within Or Immediately Adjacent To On-Campus Property)
  • Off-Campus

Section F: Reported Crime

Check The Box That Best Indicates The Crime You Are Reporting. As Needed, Please Refer To Clery Reportable Crimes For Crime Definitions.

  • Murder
  • Manslaughter
  • Robbery
  • Burglary
  • Motor Vehicle Theft
  • Aggravated Assault
  • Sex Offense (Rape or Fondling)
  • Sex Offense (Incest or Statutory rape)
  • Arson
  • Dating Violence
  • Domestic Violence
  • Stalking
  • Other crime      

The following crimes need only be reported if the victim(s) of the reported crime was/were targeted specifically because of bias/prejudice against the victim.

  • Simple Assault
  • Larceny
  • Intimidation
  • Vandalism
  • Any other crime involving Bodily Injury

Number of Crime Victims

Please provide a brief description of the reported crime (what happened) to help us classify it.

Section G: Hate Crime Reporting

Was the crime reported in Section E motivated by bias (was the victim specifically targeted because of prejudice i.e. a Hate Crime)?

Hate Crime

  • Yes
  • No

Section H: Referrals

Certain student and employee violations referred to the Office of Student Accountability and Restorative Practice, Human Resources, Office of Residence Life etc. must be reported. If a referral has been reported previously to the Office of Residence Life or Office of Student Accountability and Restorative Practice or Title IX No Further Documentation is Necessary. All other referrals must be documented. These reportable law violations include:

  • Liquor Law Violation
  • Drug Law Violation
  • Weapon Law Violation

If A Liquor, Drug, or Weapon Law Violation Referral Is Reported, the Corresponding Number of Persons Referred Must Be Entered

Case Number

If Known


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