This form should be completed by those individuals identified as "Campus Security Authorities" who are required to report information they receive about specified crimes pursuant to the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act (Clery Act). The information collected from these forms will be used to prepare a compilation of statistical crime information that will be included in the University’s Annual Security and Fire Safety Report.

If a crime that poses a serious or continuing threat to the Madonna University community is reported to anyone who is defined as a Campus Security Authority, that individual should not wait to report that incident to Public Safety. The University has a responsibility to notify the campus community about any crimes which pose a serious or continuing threat to the Madonna University community, and as such, Campus Security Authorities are obligated by law to immediately report crimes to Madonna University Campus Safety.

If there is any question about whether a serious or continuing threat exists, immediately contact Madonna University Campus Safety at (734) 432-5442.