University Police Department

Anonymous Witness Form

IF YOUR SITUATION REQUIRES IMMEDIATE POLICE OR MEDICAL ATTENTION, CALL 911 IMMEDIATELY. This Anonymous Witness form allows students to leave information regarding suspicious or criminal activity while remaining anonymous. Upon submitting this form, an email is sent directly to the police department. This format should be used to report information to the police regarding possible criminal/suspicious activity, which includes illegal drugs or illegal use of prescription medications, weapons, theft, underage drinking, assault, sexual assault, burglary, etc. If your situation requires an immediate response, do not submit this form. Call the UMHB Police directly at 254-295-5555 or dial 911 for emergency situations.

Crime Information

(Assault, Sexual Assault, Weapons, Burglary, Theft, Drug Use, Underage Drinking, Leaving the scene of an accident, etc....)

(Time and Date)

(Specific building, room number or other specific description)

(indicate what you specifically observed or heard)

Provide as much information as possible such as name, address, phone number, race, sex, height, weight, hair style and color, clothing, vehicle (license plate, color, make, model, direction of travel):

(provide specific and detailed information)

Optional Information

It can be very helpful to our investigators, if allowed to contact you for further information. Please provide the following information if we may contact you.

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Police Department
Address:  900 College Street, UMHB Station Box 8350, Belton, TX 76513
Phone: (254) 295-5555 | Non-emergency: (254) 295-4587