Oklahoma City University

Concerning Behavior
Referral Form

Person of Concern:
Please provide as much detail as possible in answering the following questions.
Name of Individual:
This person is:
Select all that may apply.
Enter an ID if known:
Ex: B123456789
Areas of Concern:
Please check all that apply.
Additional Information:
Your OCU Account (Optional):
This system allows for anonymous submission. However, should you like to be assured that OCU is taking steps to address your concerns then please provide your OCU account credentials at this time. This can also be of benefit if we have difficulty identifying the individual that you have listed.
User Name: