Clery Reporting

If you need to report an emergency or incident currently in progress, STOP and immediately call the police at 911 or University Police at 319-335-5022.

Submitting a Clery Report

Please fill out the form below to submit your Clery report.

If you have any supporting documents, please send them via email directly to clery-act@uiowa.edu.

If for any reason you can not fill out the form, send the details of your report directly to the Office of Clery Compliance by emailing clery-act@uiowa.edu.

Required fields are marked with an asterisk (*).

Incident Details

Date Reported

Time Reported

Specific Location

Description of Incident

Occurrence Date & Time

Date Type

Time Type

Date Occurred

Time Occurred

Start Date

Start Time

End Date

End Time

Fill in the fields that apply to when the incident occurred.

Reporter Information

First Name

Last Name

Phone

The reporter is a Campus Security Authority (CSA)

Individuals involved

Supporting Documents

If you have any supporting documents, please send them to the Office of Clery Compliance by emailing clery-act@uiowa.edu.