Referral Form

IF THIS IS AN EMERGENCY DO NOT USE THIS FORM.
INSTEAD, CALL 911.

The MSU Police Department will review referrals during business hours.
Time-sensitive incident may warrant an immediate response. In an emergency, please call 911.
The MSU Police Department’s non-emergency phone number is 517-355-2221.
Send a person of concern report by completing the items below.

Please note that certain professionals on the BTAT may be required to report or take other immediate action required by law based on the information submitted on the referral form.

What to Report?

  • Anything that raises suspicion or concern about potential violence
  • Acts or threats of violence
  • A pattern of disorderly or substantially disruptive behavior
  • Alarming or disturbing behavior, such as destructive or stalking behavior
  • Threats of physical harm to self or others
  • Possession of a dangerous weapon or firearm on campus

Please note: referrals are not reviewed 24 hours a day.
The MSU Police Department will review referrals during business hours.


Referral Form

Background Information

Time of Incident
:

Person of Concern

Please list the person of concern. Provide information in as many of the data fields as you can. In the ID Number field please include the following information if known: APID for students; ZPID for faculty or staff; a Driver’s License number for non-students.

Additional Person(s) Involved

Please list any additional people involved (excluding yourself). Provide information in as many of the data fields as you can. You may add up to 5 additional people by clicking the ADD button. In the ID Number field please include the following information if known: APID for students; ZPID for faculty or staff; a Driver’s License number for non-students.