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Clery Statistic Report Form

(for Campus Security Authorities)

Reporting Person:
Phone Number:
Email Address:

Classification (see definitions below)?



Murder/Non-Negligent Manslaughter:
Sex Offense (forcible):
Sex Offense (non-forcible):

Negligent Manslaughter:
Aggravated Assault:
Motor Vehicle Theft:
Weapon Law Violations:
Drug Abuse Violations:
Liquor Law Violations

Date Incident Occurred:
Location of Incident (building name or address):
Brief Description of Incident
Check the appropriate answer to the following questions:

Was this incident bias related?
Did the crime occur in a building or on the street?
Did the crime occur on NAU owned, controlled, or leased property?
Has this incident been reported to the NAU Police or Dean of Students' office?
Receive a confirmation email?
When information complete


Who is a Campus Security Authority according to the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act? A Campus Security Authority, may be a dean of students; a director of athletics, a team coach, a faculty advisor to a student group, or any other NAU official "who has significant responsibility for student and campus activities". The following are probably not campus security authorities: a single teaching faculty member (other than an advisor to a student group); or a physician in a campus health center or a counselor in a counseling center whose only responsibility is to provide care to students; or campus clerical staff. Unsure if you are a campus security authority? See your dean, director, department head, or contact Sgt. Paul Sorenson, at 523-8058 or via e-mail.

According to federal law, the Police Department is required to report "statistics concerning the occurrence of criminal offenses reported to the. police agency or any official of the institution who has 'significant responsibility' for student and campus activities".

The criminal offenses that we are required to report are murder/non-negligent manslaughter; negligent manslaughter; sex offenses (forcible and non-forcible); robbery; aggravated assault; burglary; motor vehicle theft; arson; liquor law violations; drug violations; and/or illegal weapons possession. We are required to report offenses that occur on campus, in residence facilities, in non-campus property utilized by the institution and on public property adjacent to the campus.

Murder/Non-Negligent Manslaughter: the willful (non-negligent) killing of one human being by another. NOTE: deaths caused by negligence, attempts to kill, assaults to kill, suicides, accidental deaths, and justifiable homicides are excluded.

Sex Offense: (Forcible) Any sexual act directed against another person, forcibly and/or against that person's will; or not forcibly or against the person's will where the victim is incapable of giving consent. (Non-Forcible) Unlawful, non-forcible sexual intercourse e.g. incest/statutory rape.

Sex Offense: (Non-Forcible) are incidents of unlawful, non-forcible sexual intercourse: Only two types of offenses are included in this definition:

* Incest is non-forcible sexual intercourse between persons who are related to each other within the degrees wherein marriage is prohibited by law.

* Statutory Rape is non-forcible sexual intercourse with a person who is under the statutory age of consent. If force was used or threatened, or the victim was incapable of giving consent because of his/her youth, or temporary or permanent mental impairment, the offense should be classified as forcible rape, not statutory rape.

Negligent Manslaughter: the killing of another person through gross negligence.

Robbery: the taking or attempting to take anything of value from the care, custody or control of a person or persons by force or threat of force or violence and/or by putting the victim in fear.

Aggravated Assault: an unlawful attack by one person upon another for the purpose of inflicting severe or aggravated bodily injury. This type of assault usually is accompanied by the use of a weapon or by means likely to produce death or great bodily harm. It is not necessary that injury result from an aggravated assault when a gun, knife or other weapon is used which could or probably would result in a serious potential injury if the crime were successfully completed.

Burglary: The unlawful entry of a structure to commit a felony or a theft. For reporting purposes this definition includes: unlawful entry with intent to commit a larceny or a felony: breaking and entering with intent to commit a larceny; housebreaking; safecracking; and all attempts to commit any of the aforementioned.

Motor Vehicle Theft: The theft or attempted theft of a motor vehicle. (Classify as motor vehicle theft all cases where automobiles are taken by persons not having lawful access, even though the vehicles are later abandoned - including joy riding.)

Arson: The willful or malicious burning or attempt to burn, with or without intent to defraud, a dwelling house, public building, motor vehicle or aircraft, or personal property of another kind.


Weapon Law Violations: The violation of laws or ordinances dealing with weapon offenses, regulatory in nature, such as: manufacture, sale, or possession of deadly weapons: carrying deadly weapons, concealed or openly: furnishing deadly weapons to minors; aliens possessing deadly weapons; all attempts to commit any of the aforementioned.

Drug Abuse Violations: Violations of state and local laws relating to the unlawful possession, sale, use, growing, manufacturing, and making of narcotic drugs. The relevant substances include: Opium or cocaine and their derivatives (morphine, heroin, codeine); marijuana; synthetic narcotics (Demerol, methadone); and dangerous non-narcotic drugs (barbiturates, Benzedrine.)

Liquor Law Violations: The violation of laws or ordinance prohibiting: the manufacture, sale, transporting, furnishing, possessing of intoxicating liquor; maintaining unlawful drinking places; bootlegging; operating a still; furnishing liquor to minor or intemperate person; using a vehicle for illegal transportation or liquor; drinking on a train or public conveyance; all attempts to commit any of the aforementioned. (Drunkenness and driving under the influence are not included in this definition.)

NOTE: As required by the Clery Act, the definitions above are taken from the Uniform Crime Reporting Handbook. If you have any questions about how these definitions apply, please contact Corporal Lance Wigley or Commander Cindy Cox.

Contact Us

NAU Police Department
PO Box 5602
Building 98A
Flagstaff, Arizona 86011

Phone: (928) 523-3611
Emergency: 911 or

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