Behavioral Concerns Report Form | Northeastern Illinois University

Help keep our university community safe.

This form is for reporting emerging situations involving behavior that may impact the safety of the university community but has not escalated into an emergency. Such situations involve disturbing or distressing behavior exhibited by faculty, staff, students or guests. If this is an emergency, contact NEIU Police at x5511. If your concern is strictly a student conduct issue with no safety concern, contact the Student Rights & Responsibilities Office at SRR@neiu.edu or x4610.

Person of Concern (POC) Information

POC Alias (if any exists)

POC Description

POC Phone Number

Reporter Information?

Your Phone Number

Your Email Address

Incident Date

Incident Time

Incident Location

Description of incident and concerning behavior

Please send all supporting documents to BCT@neiu.edu or deliver to the Chair of the BCT in B-119.