Behavioral Concerns Form

The form below is designed for Northern Michigan University students, staff, faculty, and community members to report behavioral concerns.

*Indicates a required field

If this is an emergency, please call 911 immediately or Public Safety and Police Services at (906) 227-2151.

Name of the person you are concerned about: *

Please describe the behaviors and/or situation that are causing you concern: *

Contact information for person you are concerned about (cell phone, address, email, etc.):

Date of incident or situation:

Location of incident or situation:

Name and contact information of person submitting information

(If you provide your name and contact information, we may contact you with questions or get back to you with information)