When Should This Report Form be Used?

This form should be completed when someone knows, suspects, or receives information that the health or safety of a minor, defined under Massachusetts law as an individual under the age of 18, may be at risk. Concerns may include a specific incident that occurred on/off campus, a suspicion of abuse or neglect, or a suspicion that a minor may be a threat to himself/herself or to others.

Who Is Required to Report Concerns of Child Safety?

  • Any University faculty, staff, student, or volunteer participating in a University activity
  • Any owner/operator, employee, volunteer, or agent of a third-party program
  • Mandated reporters, under M.G.L. c. 119, § 51A
  • Campus security authorities, under the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime 
Statistics Act
  • Minors program coordinators
  • Title IX coordinator and deputy coordinators

Members of the BU community with concerns regarding child safety should direct their concerns to the Boston University Police Department at 617-353-2121. Anyone may contact the Massachusetts Department of Children & Families directly using the Child-at-Risk Hotline, any time of the day or night, at 800-792-5200.

What if a Victim Requests Confidentiality?

Any incident that puts the safety of a minor at risk must be reported, regardless of the desire of the minor.

What Should You Do if You Feel a Minor Is in Immediate Danger?

If you fear an immediate threat to the minor, immediately contact the BUPD at 617-353-2121.

What Happens with the Information You Provide?

Boston University is committed to protecting minors. Because of sensitive safety concerns and the potential need for immediate action, this report will be submitted to the BUPD for review and the appropriate parties will be notified.

Minor Safety Concern Report Form

  • Reporter’s Information (optional)

    The reporter and the minor can be different people
  • Minor’s Information

    If the reporter and the minor are different people
  • Parent/Guardian Information

  • Other Parties Involved

  • Incident Information

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  • Other Reports