Campus Security Authority (CSA) Reporting Form

The CSA Report form is intended to provide CSAs with a method of reporting Clery crimes to Public Safety for inclusion in the College’s annual compilation of Clery statistics.

The CSA Report is NOT a method of notifying police of an emergency, dangerous situation or other hazard. The submission of the CSA Report will NOT prompt a police investigation or generate an official police report or case number.

Public Safety personnel evaluate each CSA Report to determine if the incident reported requires the publication of a Timely Warning Notice or Emergency Notification to the campus community.

The intent of a Timely Warning Notice or Emergency Notification is to enable members of the campus community to protect themselves and aid in the prevention of similar crimes. It is critical that pertinent information is provided as soon as it is available.

Please provide as much information as possible on the CSA Report.  However, the inclusion of personally identifiable information (complainant’s name, suspect’s name, etc.) is not required, but the inclusion of such information, if known, may assist the College in providing services and eliminating the possibility of double-counting incidents.

The College makes many resources available to victims, survivors and witnesses of crime at no cost. If you would like to learn more about these resources, have questions about this form, or would like assistance completing this form, please contact our office at (413) 775-1212 or by email at publicsafety@gcc.mass.edu.

This form is used to gather statistical information to aid the College in compiling required statistics related to crimes that occur on campus and other College owned or controlled property. The collection of this information is required by the Higher Education Act and the Clery Act. This is NOT a report for the purposes of initiating a criminal investigation. However, Public Safety personnel will review this information to evaluate crime trends and to determine whether the circumstances reported require the issuance of a campus-wide warning.