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KSC Campus Safety - Silent Witness

This form should be used by any person to report crimes/incidents and/or serious policy violations which may affect the health, safety or welfare of the Keene State College Community. This report is received by the Department of Campus Safety.

Information submitted through this form outside of business hours may not be reviewed until the next business day. If there is an immediate risk to health or safety please contact Campus Safety at 603-358-2228 or Keene Police at 603-357-9813 or 911.

Anonymity: You may wish to identify yourself or may elect to remain anonymous. You must understand that the College’s ability to meaningfully investigate the incident and pursue disciplinary action may be limited should you wish to remain anonymous. Furthermore, the information that you provide may be shared with the person(s) whose behavior is being reported.

Your Information

Please provide your name and contact:

Your full name:

Your position/title:

Your phone number:

Your email address:

Email address must be of a valid format.

Date of incident(Required):

This field is required.

Time of incident:

Location of incident(Required):

This field is required.

Specific location:

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Please provide actual location of incident, if known

Involved Parties

Please list the name(s) of involved parties

Full Name

Select Role

Type of Incident

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Your Information

Involved Parties

Type of Incident

Supporting Documentation

Submission