USC Lancaster

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Behavioral Intervention Team

Incident Report

All information shared with the BIT will be held in strict confidentiality.


If this is an emergency situation, do not complete this form.
Instead, immediately call 911 or 9-911 (if on campus) and identify the location of the incident.


Student about whom the report is being made: *
Last 4 digits of SSN ID (if available):
Student's Email Address (if available):

Date of Incident (mm/dd/yyyy): *
Time of Incident (hh:mm AM/PM):
Location of Incident:

Your Name: *
Your Title:
Your Phone Number (10 digit number):
Your Email Address: *

In the space below, please provide as much detail as you can about the incident as well as any other information that you feel may be important.

Call (803) 313-7120 with any additional questions.



Security Image:




Enter text shown in the image: * (case sensitive)



Please read over the page to make sure all the information is correct
and then click on the Submit button.


* denotes required field.

Other important links:

P O Box 889 Lancaster SC 29721
476 Hubbard Dr. Lancaster SC 29720 � 803-313-7000