Student Conduct Incident Report Report disruptive student behavior and/or request disciplinary action. If the situation is an emergency and/or you have safety concerns, contact Security immediately at 224-3001 or 911 on a campus phone! Student's Name Student's ID# Course and/or Incident Location Date & Time Incident Occurred Faculty or Staff Name Contact No. and Email Incident Description Please describe the incident in detail below. Be as specific, clear, and objective as possible. “John shook his fist at me and said ‘you are a stupid loser’” is more helpful than “John was threatening and used aggressive language with me.” If possible, quote what was said verbatim, without regard to appropriateness of language. Include as much information as possible about witnesses or others involved, such as ID numbers or contact information. You are not limited to the space below, and may respond by email or use another form, so long as all of the above is included. Today's Date Additional Comments Spam Check These reports should be filed with the Dean of Students (SSC 202, 224-4342) as soon as possible after the incident. This form does not replace and may be in addition to a CNM Security Incident Report. You can also download a printable PDF version of this form.