Incident reporting form

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Your contact information
Identify the category that best describes your current affiliation with the university:
Information about the incident
Is the student whom the allegation being made against:
Are there witnesses or other individuals with information about the incident:
Was there any external reporting or external response to the incident (e.g., police, fire department, bylaw enforcement, etc):
Did Campus Security respond to the incident when it occurred:
Has a complaint been made related to this incident elsewhere within the university (e.g., the Equity and Human Rights Office, Campus Security, a Dean’s Office, etc):
Additional information
Signature