Department of Public Safety

CSA Reporting Form

This form is for Thomas Jefferson University Campus Security Authorities (CSA) to complete in order to report suspected criminal activity on or adjacent to a Jefferson campus. A CSA is defined as “an official of an institution who has significant responsibility for student and campus activities.”  To read more about the important role that each CSA plays in ensuring the safety of our community, click on Campus Security Authorities (note: previous link will open in a new browser tab). 

Does the involved party want the Department of Public Safety to contact them about this incident?

Crime Classification of Incident

If you are unsure of a classification, visit the Clery Crime Definitions page. (Note: This will open a new browser tab.)

Classification Selection:

Incident Details

Is the date of the incident known to CSA?
Did the crime occur on Thomas Jefferson University owned, controlled or leased property? *

Location information:

Click to view more information on Thomas Jefferson University locations in Voorhees, NJ; Horsham, PA (Dixon); Trevose, PA (Bucks County Technology Park) and Spring House, PA (Jefferson Institute for Bioprocessing). To view virtual campus maps for our East Falls and Center City campuses, refer to the links below:

Did the alleged incident occur at a Thomas Jefferson University sponsored event or activity?