Arkansas State University

Arkansas State University

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Arkansas State University

Fire Incident Reporting Form

This form is to be used by appropriate A-State personnel to report fire incidents on campus. This form will be used to fulfill reporting requirements under 34 CFR 668.49, including the Jeanne Clery Act and the Higher Education Opportunity Act.


All reports are sent to Arkansas State University's Office of Emergency Management. You may contact them at (870) 972-2862.

Reporter Info

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Location

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    Exact Location

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    Reporter's Information

    Incident Date/Time

    Incident Description

    Incident Outcome

    Add Supporting Documents

    Add files to upload as supporting documentation along with your incident report.