Tell Someone

Background Information

All reports will be treated with discretion. Information from this form may be shared with appropriate individuals in order to help protect the safety and health of those involved in any incident.
You may remain anonymous when reporting through this form. However, it’s very helpful to have your contact information and name in case there is a need to obtain more information about the situation or clarify information. Every attempt will be made to review and address the concerns you submit on this form, but without adequate information, the university may not be able to respond as effectively. Therefore your contact information is strongly encouraged.

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Your full name and pronouns:

Your position/title:

Your phone number:

Your email address:

Email address must be of a valid format.

Nature of this report(Required):

This field is required.

Date of incident(Required):

This field is required.

Time of incident:

Location of incident(Required):

This field is required.

Specific location:

Person of Concern

This form is designed to help the individual you are concerned about, not to punish them. Please provide identifying information for the person of concern.

Person of Concern's Name

Select Role

ID Number

DOB or Approximate Age

Phone Number

Email Address

Hall/Address

Descriptions / Narrative

Supporting Documentation

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

Background Information

Person of Concern

Descriptions / Narrative

Supporting Documentation

Submission