CCC Incident Report

skip to main content

Clinton Community College

Menu

Clinton Community College

New Location
COLLEGE STORE

Directory
Staff/Faculty Webmail
Student Portal
Online Learning
Need Help?

This link performs a search of the website.

Future Students
Current Students
Faculty & Staff
Foundation/Give
Alumni

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

Home
Student Resources
Safety & Security
CCC Incident Report

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

Safety and Security Home
Campus Safety Policies
Hazing Prevention
External Resources
CCC Incident Report
Title IX

CCC Incident Report

Please 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

Form UUID Site Name

LOCATION:
Rugar Street

Between Macomb & Memorial Hall, behind the bookstore

DIRECTIONS TO UP

EMERGENCY CONTACT:
On Campus Phone: 911 Off-Campus Phone: 911

EVERYDAY CONTACT: 518-564-2022

Clinton Community College

46 Beekman Street, Plattsburgh, New York 12901 (518) 562-4200

Facebook
Twitter
Instagram
YouTube
LinkedIn

Need assistance? Contact Us.

© 2025 Clinton Community College. All Rights Reserved.

Contact Us
Employment
Legal Notices
Privacy Policy
Accessibility

Top

© 2025 Clinton Community College. All Rights Reserved.