West Texas A&M University

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Incident Report Form

Incident Report

The West Texas A&M University incident report form should be used by the WTAMU community to provide information concerning an alleged violation of the West Texas A&M University Code of Student Life. This form should be used to report knowledge or awareness of any alleged violation of University rules or the Code of Student Life, including incidents of hazing. Completed forms are submitted to Mr. Mike Knox, Vice President for Student Affairs.

West Texas A&M University recognizes the importance of maintaining certain records for each student which contributes to and confirms the student’s educational progress. To protect the rights of students regarding these records, the University has established policies and guidelines which describe the records maintained and provisions for releasing information. These rules conform to State and Federal laws (the U.S. Department of Education guidelines for the Family Educational Rights and Privacy Act of 1974 as amended, known as FERPA).

Please be advised that ANY FALSE REPORTING will result in DISCIPLINARY ACTION.


Incident Report Form

Note: Required fields are marked with an asterisk "*".








Involved Parties (if known)

(If more than one, divided by comma ",")





Note: Completed forms are submitted to Mr. Mike Knox, Vice President for Student Affairs.