Voluntary Statement Form: Online fill-in form

The online statement form is provided to make completing the form more convenient to those needing to complete a voluntary statement. Prior to filling out a statement form, you must have already reported the incident to a member of our Department Administration or a University Police Officer.  If you have not  reported it, DO NOT submit this form.

 

This statement is given voluntarily, without threats or coercion.

 

 

The statement above is given freely.  My initials below signify that I have reviewed the information and it is truthful and correct, to the best of my recollection.