Online Confidential Crime Report Form

Campus Police Services / Safety and Security (CPS)
601.857.3270 (Raymond)
601.987.8142 (Jackson)
601.885.6151 (Utica)
601.376.4912 (Nursing/Allied Health Center)
601.936.1800 (Rankin)
601.638.0600 (Vicksburg)

This page is not intended to replace the normal crime reporting process. This form is provided as a special service for those who wish to report criminal activity confidentially. CPS Office personnel will not contact you because we will not know who you are, unless you provide that information to us.

Type of Crime
Date Crime Occurred  
Time Crime Occurred (Press A or P to indicate AM or PM)  
Campus Where Crime Occurred
Area Where Crime Occurred
Location of Crime (give address or building number and room number)


Describe Crime(please provide as much information as possible)


Suspect Information / Identification


Other People Involved or Affected


Additional Information