NPL Incident Report Form
This form is confidential and will only be viewed by members of the NPL Code of Conduct Committee. Responses will not be shared beyond those individuals without your express permission. If you are uncomfortable making a report to the entire CoC Committee, please contact any individual member of the Committee with whom you feel comfortable.
What happened?
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When did this occur?
Your answer
Where did this occur?
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Who was involved?
Your answer
Your Name (Optional: provide only if you feel comfortable)
Your answer
What method should the Committee use to follow up with you, if any? (Optional: provide only if you feel comfortable. Examples include email address or phone number and whether text or call is preferred.)
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Additional Notes for the Committee
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