Satellite report

If this is an emergency, call Public Safety
(585) 275-3333

We are available 24 hours a day, 7 days a week.

Satellite report

Complete this form to report crimes or incidents occurring off-site or at a satellite location, even if no loss results. Employees should use their work address and phone number. After completing this form, you will receive an email confirmation and copy of the report. If you have access to RL Solutions, please fill out that report and check the “PUBLIC SAFETY” box.

You may also download, print, and complete the form. Fax the completed form to University Public Safety at (585) 275-0344.

Download and print form

If you have questions or concerns about this form or the crime or incidence you are reporting, contact Public Safety at (585) 275-3333

* Items are required

Your information
Name*
First Last
- Email*
  
  After you submit, a completed copy of the form will be emailed to this address.
- Phone
Incident details
Nature of offense/incident*
Please explain the nature of the offense/incident
- Date of occurrence*
  MM slash DD slash YYYY
- Time of occurrence*
  
  : Hours
  
  Minutes
  
  AM/PM
- Date reported*
  MM slash DD slash YYYY
- Time reported*
  
  : Hours
  
  Minutes
  
  AM/PM
Location
- Name of off-site/satellite location*
- Specific location of incident*
  
  (BLDG., ROOM#, DEPT., ETC.)
Address of off-site/satellite location*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Property involved
Property stolen*
- Item
  
  (Make, Model, Serial #, Etc.)
- EPHI
- PHI
- Item value
Property damaged*
Property damaged value
Persons involved
- Name
- Sex
- Code
Address
- Name
- Sex
- Code
Address
- Name
- Sex
- Code
Address
Suspect information
- Suspect #1 Name
- Sex
- Code
Address
- Suspect #2 Name
- Sex
- Code
Address
Suspect description
If you only have suspect(s) description, please explain
Incident narrative
Describe the incident that took place
Law enforcement
- Law enforcement agency involved
- Law enforcement report number
- Person completing report
- Phone number
Hidden
Internal information
Hidden
Case number
Hidden
Category
Hidden
Classification
Hidden
Sector

If this is an emergency, call Public Safety (585) 275-3333

Satellite report

Your information

Incident details

Location

Property involved

Persons involved

Suspect information

Incident narrative

Law enforcement

Internal information

If this is an emergency, call Public Safety
(585) 275-3333