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Incident Reporting

Use the following forms to report incidents related to Yavapai College.


  • Incident Report - Anyone within or outside the Yavapai College community may use this report
  • Student Academic Appeal - A student may appeal an academic or instructional decision by faculty. The appeal must be made in a timely manner in accordance with established procedures and criteria defined in Policy 3.16. Please review the policy prior to submitting the appeal.
  • Care Reporting Form - Use this form for individuals who need mental health support or basic needs support services. For immediate life-threatening concerns about someone who is a threat to themselves or to others, please call 911 and Campus Safety at 928-237-0420.
  • Sexual Harassment Report - This form should be used to report concerns pertaining to dating violence, domestic violence, hostile environment, sexual assault, sexual exploitation, sexual harassment, stalking, retaliation, or other forms of sexual misconduct.
  • Academic Integrity Report - For instructors
  • Smoking Reporting Form

If you have any questions about these forms, email Tania Sheldahl, the Associate Vice President and Dean of Student Development: (928) 776-2128.