University of Rhode Island Logo

Early Alert Referral Form

This Reporting Form is NOT a Emergency Service

Do not use this site to report events presenting an immediate threat to life or property. Reports submitted through this service may not receive an immediate response. If you require emergency assistance, please contact the URI Police Department by dialing 911.

Referring Party Information

Enable additional features by logging in.

Your full name:

Your phone number:

Your email address:

Email address must be of a valid format.

Urgency of this Referral(Required):

This field is required.

Student Being Referred

Student Name

Select Role

ID Number (if known)

Phone Number (if known)

Email Address (if known)

Referral Information

Supporting Documentation (Optional)

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Email me a copy of this report

Referring Party Information

Student Being Referred

Referral Information

Supporting Documentation (Optional)

Submission