UCO: General Complaint Form

Please fill in the information below and submit to the Office of Student Conduct as soon as possible after the alleged incident has occurred (preferably within 2 University business days). This form should be submitted to the Office of Student Conduct (OSC) which is located in the Lillard Administration Building, room 211 and 213 / Box 158, or online at www.uco.edu/conduct.

*Date Submitted:
*Date of Incident:
*Time of Incident:
*Am or PM:
*Location of Incident:
*Police Report Filed:
*Did a police arrest occur:
*Reporting Person:
Department/Role:
Primary Phone :
*Email:
Address:
Please describe the facts about the incident.
Description of Incident:
Other Involved Persons (Please specify the role of each person as a “witness,” “alleged victim,” “accused,” or “other”) Person 1
Person 1 Name/Role:
Person 1 Current UCO Student?:
Person 1 Primary Phone:
Person 2
Person 2 Name/Role:
Person 2 Current UCO Student?:
Person 2 Primary Phone:
Additional Parties (If applicable): Person 3
Person 3 Name/Role:
Person 3 Current UCO Student?:
Person 3 Primary Phone:
Person 4
Person 3 Name/Role::
Person 4 UCO Student?:
Person 4 Primary Phone:

University of Central Oklahoma

Student Conduct

Person 1

Person 2

Person 3

Person 4

A Department of Student Affairs