Filling Out An Incident Report!

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IMPORTANT: If there is an immediate risk or threat, please contact Campus Security at (808) 689-2911, before filing an incident report.  

Instructions how to fill out an Incident Report: 


As the Complainant, please provide the following:

  • Your name (First and Last Name)
  • Position/Title (Optional) 
  • Telephone number
  • Email address: Please use your if you are a UH West O`ahu student or employee
  • Address(Optional)
  • Date of incident (Required)
  • Time of incident: If known (Optional) 
  • Location of incident (Required)
  • Specific location: (Optional)

Include everyone that is involved or was present at the time of the incident (The Respondent and/or witness(es).

  • Name (first and last) or Organization
  • Gender
  • Role
  • SID (Student Identification) number (If known)
  • DOB if known
  • Telephone number
  • email address 
  • Address (Optional)

Note: Please be as specific as you can in describing the alleged incident (who, what, when, why, and how). This be very helpful to the Student Conduct Office in the preliminary fact finding investigation.

  • Please provide a detailed description of the incident and include name(s), date(s), time(s), and location(s) regarding the alleged incident. (Required)
  • Did you report this information to an employee of UH West O`ahu? (Required)
  • If yes, please state the name of the employee and the date you reported it to them. (Required)
  • Please identify the potential violation(s) from the list provided on the online report form (Indicate all that applies). This is a guide for the Student Conduct Officer. 
  • Check if you wish to be anonymous. Remember If you choose to be anonymous this will limit the Student Conduct Officer’s ability to respond to your complaint or report. (Required)
  • You can choose to speak to the Student Conduct Officer if you have questions.
  • By checking yes, you are acknowledging you understand that the report will be received during normal business hours. (Required)
  • Please contact Campus Security (808) 689-2911 if there is an immediate risk or threat.  
  • If you have any supporting documents you can upload them into the system or you can send them to  


If you have questions whether a potential violation occurred or if you are unsure on how to proceed in submitting an incident report, come talk with us.