Confidential Witness Report Form
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Incident Types
Reporting Persons
Involved Contacts
Incident
Vehicles Involved
Property
Digital Media
Review Report
Finish Report
Requestor's IP Address : 44.220.184.63
Select Report Type
Please select the report type:
Original or Supplemental.
Select
Report Type
Definition
Original
This is the first report you have filed for this incident.
Supplemental
You are adding information to a
previous report
which was
submitted online
.
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Original Online Report Number:
Select Incident Type(s)
Select
Incident Type
Definition
Examples
Arson
Assault
Behavioral Intervention Team Referral
Are you concerned for your safety because someone threatened you? Have you noticed someone displaying concerning behaviors that have the potential for violence? CCM Behavioral Intervention Team (BIT) serves as the central point of contact for receiving community concerns about threatening or concerning behaviors. The BIT conducts threat assessments and provides interventions to mitigate campus violence. IF YOU NEED TO REPORT AN EMERGENCY OR ARE IN IMMINENT DANGER, CALL 911.
Discrimination Complaint
Drugs / Alcohol
General Information
Harassment
Officer Complaint
Officer Compliment
Parking Violation
Robbery
Sex Crime
Smoking
Suspicious Activity
Suspicious Person
Theft
Traffic Violation
Vandalism
Select Reporting Person Type
Please select a proper person type according to the definition below.
Select
Person Type
Definition
Individual
If you are reporting this for yourself.
Business
If you are responsible for reporting this for your employer or your own business.
Enter Reporting Person Information
Please enter your information as completely as possible. You may be contacted regarding this incident. An email address is required if you would like to be notified when this report is received and approved.
Person Type:
ALUMNI
ANONYMOUS
CONTRACT EMPLOYEE
COUNTY COLLEGE OF MORRIS
DRIVER
FACULTY
FAMILY MEMBER
FIRE DEPT.
JUVENILE
JUVENILE SUSPECT
JUVENILE VICTIM
OEM
ONLINE REPORT (OLR)
OTHER
POLICE DEPT.
PROPERTY OWNER
REPORTING PERSON
RESCUE SQUAD
STAFF / EMPLOYEE
STUDENT
STUDENT - VOTECH
STUDENT- JUVENILE
SUSPECT
TRUSTEE
VEHICLE OWNER
VICTIM
VISITOR
WITNESS
Employee ID:
First Name:
Middle Name:
Last Name:
Home Address:
City
 /
State
 /
Zip Code:
 /
Country
 ,
 ,
,
Home Phone:
Mobile Phone:
Email Address:
Email report to this address
Confirm Email:
Employer Name:
Work Address:
City
 /
State
 /
Zip Code:
/
Country
 ,
 ,
,
Work Phone:
Race:
ASIAN
BLACK
HISPANIC
WHITE
Sex:
FEMALE
MALE
DOB:
Driver License Number:
Licensing State:
Person Type
Name
Home Phone
Mobile Phone
Work Phone
Enter Involved Contact Information
Please enter your information as completely as possible. You may be contacted regarding this incident. An email address is required if you would like to be notified when this report is received and approved.
Person Type:
ALUMNI
ANONYMOUS
CONTRACT EMPLOYEE
COUNTY COLLEGE OF MORRIS
DRIVER
FACULTY
FAMILY MEMBER
FIRE DEPT.
JUVENILE
JUVENILE SUSPECT
JUVENILE VICTIM
OEM
ONLINE REPORT (OLR)
OTHER
POLICE DEPT.
PROPERTY OWNER
REPORTING PERSON
RESCUE SQUAD
STAFF / EMPLOYEE
STUDENT
STUDENT - VOTECH
STUDENT- JUVENILE
SUSPECT
TRUSTEE
VEHICLE OWNER
VICTIM
VISITOR
WITNESS
Employee ID:
First Name:
Middle Name:
Last Name:
Home Address:
City
 /
State
 /
Zip Code:
/
Country
 ,
 ,
,
Home Phone:
Mobile Phone:
Email Address:
  
Email report to this address
Confirm Email:
Race:
ASIAN
BLACK
HISPANIC
WHITE
Sex:
FEMALE
MALE
DOB:
Driver License Number:
Licensing State:
Person Type
Name
Home Phone
Mobile Phone
Work Phone
Enter Incident Information
Please enter all the information that applies. If you do not know the address of the incident, use the nearest intersection such as Market St./ 10th St. Please ignore previous instructions. LB
Street Address:
City
 /
State
 /
Zip Code:
/
Country
 ,
 ,
,
Incident Time (start):
Incident Time (end):
Have Vehicle Info to Enter?:
Yes
No
Have Property Info to Enter?:
Yes
No
Have Digital Media to Enter?:
Yes
No
Origin of Threat:
675 ROUTE 10
BASEBALL FIELD
COHEN HALL
DALRYMPLE HOUSE
DEMARE HALL
EMERITI HALL
HEALTH PHYS ED
HENDERSON HALL
LANDSCAPE HORTICULTURE TECHNOLOGY (LHT)
LEARNING RESOURCE CENTER
OTHER LOCATION
PARKING LOT 1
PARKING LOT 10
PARKING LOT 2
PARKING LOT 3
PARKING LOT 4
PARKING LOT 5
PARKING LOT 6
PARKING LOT 7
PARKING LOT 8
PARKING LOT 9
PLANT & MAINTENANCE
SHEFFEILD HALL
STUDENT CENTER
TENNIS COURTS
Incident Description:
(Characters Left)
Enter Vehicle Information
Please enter the Vehicle information.
Type:
2 DOOR VEHICLE
3 DOOR VEHICLE
4 DOOR VEHICLE
BUS
CLUB CAB TRUCK
CONVERTIBLE
HATCHBACK
MOTORCYCLE
PICKUP
SEDAN
STATIONWAGON
SUV
UNKNOWN
VAN
Make:
ACURA
ALFA ROMEO
ALPHA
AUDI
BMW
BUICK
CADILLAC
CHEVROLET
CHRYSLER
DAEWOO
DODGE
DUCATI
FERRARI
FIAT
FORD
GMC
HARLEY DAVIDSON
HONDA
HUMMER
HYOSUNG
HYUNDAI
INFINITI
ISUZU
JAGUAR
JEEP
KAWASAKI
KIA
LAMBOORGHINI
LAND ROVER
LEXUS
LINCOLN
MASERATI
MAZDA
MERCEDES BENZ
MERCURY
MG
MINI COOPER
MITSUBISHI
NISSAN
OLDSMOBILE
PLYMOUTH
PONTIAC
PORSCHE
RANGE ROVER
ROLLS ROYCE
SAAB
SATURN
SCION
SMART
SUBARU
SUZUKI
TESLA
TOYOTA
TRIUMPH
VAN AMERICAN INC
VOLKSWAGEN
VOLVO
YAMAHA
Model:
Year (YYYY) :
Color:
BIEGE
BLACK
BLUE
BROWN
BURGANDY
GOLD
GRAY
GREEN
MAROON
NAVY
ORANGE
PINK
PURPLE
RED
SILVER
TAN
TEAL
WHITE
YELLOW
License Plate Type:
AUTOMOBILE
COMMERCIAL
LIVERY
License Plate Number:
(do not enter spaces)
Licensing State:
VIN:
(do not enter spaces)
Insurance Company Name:
Insurance Policy #:
Insurance Policy Expiration Date:
Enter Property Information
Please enter the Property information.
OwnerShip:
BUSINESS
CCM
CONTRACTOR
CONTRACTOR / VENDOR
OTHER
PERSONAL
UNKNOWN
Type:
BACKPACK
BOOKS
BOOKS NOTEBOOKS
CALCULATOR
CAMERA / PHOTOGRAPHY EQUIPMENT
CELL PHONE
CELL PHONE ACCESSORIES
CLOTHING
COMPUTER
COMPUTER / TABLET
COMPUTER ACCESSORIES
CREDIT CARD
EAR PODS
GIFT CARDS
GLASSES
HEADPHONES
IDS - GOVT ISSUED
JEWELRY
KEYS - OTHER
KEYS - VEHICLE
LAPTOP
MONEY
OTHER
OTHER ELECTRONIC EQUIPMENT
PURSE/WALLET
WATCH
Subtype:
Brand:
Model:
Color:
BEIGE/TAN
BLACK
BLUE
BROWN
GRAY/SILVER
GREEN
ORANGE
PINK
RED
WHITE
YELLOW
Serial Number:
How Many:
Approx. Market Value ($):
Property Description:
Select Digital Media
Please select any digital media (pictures, documents or any digital data files) up to 4 MB that are relevant to this incident.
File Name
Title
Description
Review Report
Please review the report. If all the information is correct, click the Continue button to submit the report. If you need to modify some information, click the desired modify link. This will be your last chance to change information for this report.
General Information:
Incident Type(s):
Reporting Person/Involved Contact Information:
Incident Information:
Incident Location:
Incident Time (start):
Incident Time (end):
Origin of Threat:
Incident Description:
Vehicle Information:
Type:
Make:
Model:
Year (YYYY):
Color:
License Plate Type:
License Plate Number:
Licensing State:
VIN:
Insurance Company Name:
Insurance Policy #:
Insurance Policy Expiration Date:
Property Information:
OwnerShip:
Type:
Subtype:
Brand:
Model:
Color:
Serial Number:
How Many:
Market Value($):
Property Description:
Digital Media:
Your report has been submitted.
CONFIDENTIAL WITNESS REPORT FORM / IF THIS IS AN EMERGENCY CALL 9-1-1. THIS SYSTEM IS NOT MONITORED 24 HOURS A DAY. IF YOU NEED TO CONTACT CCM PUBLIC SAFETY NOW, DIAL 973-328-5550. YOU ARE COMPLETING THIS FORM UNDER THE CONDITION OF ANONYMITY. IF YOU WOULD LIKE US TO CONTACT YOU, PLEASE COMPLETE THE CONTACT INFORMATION SECTION OF THIS FORM. THE CONFIDENTIAL REPORT FORM IS USED TO COMPLY WITH YOUR WISH TO KEEP THE MATTER CONFIDENTIAL, WHILE ENABLING THE COLLEGE TO TAKE STEPS TO ENSURE THE FUTURE SAFETY OF YOURSELF AND OTHERS. THE INFORMATION REPORTED WILL REMAIN CONFIDENTIAL EXCEPT FOR DISCLOSURES NECESSARY TO ENSURE THE SAFETY OF YOU AND THE CAMPUS COMMUNITY AND FACILITIES. THE COLLEGE ENCOURAGES ANYONE WHO IS A VICTIM OR WITNESS TO A CRIME TO PROMPTLY REPORT THE INCIDENT TO THE POLICE. WHEN YOU SUBMIT THIS FORM IT WILL BE RECEIVED BY THE COUNTY COLLEGE OF MORRIS DEPARTMENT OF PUBLIC SAFETY, 973-328-5550
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