Report • CampusOptics

Please complete this form in its' entirety to report a property loss or damage to university property.

Reporter Info

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Name* Required

Additional Location Details

Exact Location

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Date of Incident

Time of Incident

Location of Incident (Building, Room, etc.)

Reporting Person/Witness First and Last Name

Reporting Person/Witness Phone Number

Reporting Person/Witness Email

Gonzaga Department and Phone #

Was Gonzaga Campus Security Notified?

Gonzaga Security Report #

Were the Police Notified?

Police Report # (if known)

Detailed Description of the Incident

List of items damaged/missing and dollar value

Insurance Claim #

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