Clery Act Form
UNIVERSITY OF TEXAS STUDENTS ONLY –
UNDER THE HIGHER EDUCATION OPPORTUNITY ACT OF 2008, YOU ARE ENTITLED TO IDENTIFY A “CONFIDENTIAL CONTACT PERSON” WHO IS TO BE CONTACTED NOT LATER THAN 24 HOURS FOLLOWING A DETERMINATION THAT YOU ARE MISSING. IF YOU WISH TO DESIGNATE A CONFIDENTIAL CONTACT PERSON OTHER THAN THE PARTY IDENTIFIED ABOVE, PLEASE DO SO BELOW. IF NO ADDITIONAL PERSON IS IDENTIFIED BELOW, THE EMERGENCY CONTACT NOTED ABOVE WILL BE CONTACTED IN THE IN THE EVENT OF A DETERMINATION THAT YOU ARE MISSING.

