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NC State University Police Department
Environmental Health & Public Safety
Programs, Services & Community Training
Reports & Forms
Office of Professional Standards
NC State University Student
Any other trespassed person
Identify whether you are a university student or other community member.
Date of Trespass
Enter the date you were trespassed.
Location of Incident That Led to This Trespass
Please identify the building or address where the incident occured.
Incident Case Number
Please enter the number from your trespass paperwork that identifies your specific case.
Name of Trespassed Person
Last name, First Name Middle Name
Student ID Number
Please enter your NCSU Student ID Number
Driver's License or Other ID Number
Please enter a state issued ID number
ID Number Issuing Authority
State or other authority that issued your identification.
Your Email Address
Please enter a valid email address. This address will be used for all official communication.
Your Telephone Number
Please enter your telephone number
Trespass Appeal Narrative
Please enter a detailed narrative explaining the reasons for your trespass appeal.