CCC Incident Report

skip to main content

Clinton Community College

Menu

Clinton Community College

Directory
Staff/Faculty Webmail
Student Portal
Clinton Online
Need Assistance?

This link performs a search of the website.

Future Students
Current Students
Faculty & Staff
Alumni & Friends

Home
About
Admissions
Tuition & Aid
Degrees & Programs
Student Life
Campus Resources
Workforce Development

Home
Campus Resources
Safety & Security
CCC Incident Report

Request Info
Apply
Pay for College
Request Transcript
How to Register
Course Schedule

Overview
Campus Safety Policies
External Resources
Alert & Rave Program
CCC Incident Report

CCC Incident Report

If you see this don't fill out this input box.

Person Filing Report *

Date and Time of Incident *

Police/Fire Department notified? *

Yes

No

If Yes, Time of notification

If Yes, Officer's Name and RPT#/Badge#:

Security Office notified? *

Yes

No

If Yes, Name/Title:

Client notified? *

Yes

No

If Yes, Name/Title:

Below please list Persons Involved/Witnesses

Witness #1 Name/Position Title

Witness #1 relationship

Employee

Client Employee

Other

Student

Witness #1 Phone number and Organizational Name and Address

Witness #2 Name/Position Title

Witness #2 relationship

Employee

Client Employee

Other

Student

Witness #2 Phone number and Organizational Name and Address

Witness #3 Name/Position Title

Witness #3 relationship

Employee

Client Employee

Other

Student

Witness #3 Phone number and Organizational Name and Address

Witness #4 Name/Position Title

Witness #4 relationship

Employee

Client Employee

Other

Student

Witness #4 Phone number and Organizational Name and Address

Type of Incident/Description of Property/Equipment (if necessary) *

Description of Incident/Injury (WHO, WHAT, WHERE, WHY and HOW. Include all information in detail. *

Officer Name:

Date and Time of Report

Enter your email address *Please enter a valid email address

LOCATION:
Moore Bldg., 1st floor
Phone: 518-593-0777

OFFICE HOURS:
Monday-Thursday
8:00am-4:30pm
Friday
8:00am-4:00pm

STAFF:
Bernard Bullis
Deputy Sheriff

David Constanty
Deputy Sheriff

Clinton Community College

136 Clinton Point Drive, Plattsburgh, New York 12901 (518)562-4200

Facebook
Twitter
Instagram
YouTube
LinkedIn

Need assistance? Contact Us.

© 2018 Clinton Community College. All Rights Reserved.

Contact Us
Employment
Legal Notices
Privacy Policy

Top

© 2018 Clinton Community College. All Rights Reserved.