Report of Favorable Police Conduct

Thank you for recognizing a member of team XUPD.

Date of Incident
Time of Incident
Location of Incident
Officer's Name and Badge Number
Please describe in as much detail as possible the favorable conduct or service provided by the police officer.
Your Information
Name
Age
Street Address
City
State
Zip Code
Email
Phone Number
Relationship to Xavier

Relationship to Xavier Faculty Staff Student Visitor
Class

Class First Year Sophomore Junior Senior Graduate
Housing

Housing Resident Commuter