Bias Incident Report
Directions:
Please use this form to report an incident of bias impacting a member of the Valparaiso community. Reports will be received during business hours of 8:00 a.m. - 5:00 p.m. Monday - Friday (excluding university holidays and closures). Reports received after business hours will be reviewed during the next business day.

If you are concerned about the immediate health and safety of yourself or someone else, call 911 or the Valparaiso University Police Department (VUPD) at (219) 464-5430.

Confidentiality:
In regards to this Bias Incident, Valparaiso University will strive to protect, to the greatest extent possible, the confidentiality of persons reporting a bias incident and of those involved in the reported incident. However, Valparaiso University may have an obligation to address reported incidents, to investigate meaningfully, or to take corrective action (where warranted), and therefore the university cannot guarantee complete confidentiality where it would conflict with Valparaiso University's obligation. Regardless of the situation, personal information will only be shared with individuals with a legitimate need to know, in compliance with university policy.

The Bias Incident Response Team (B.I.R.T.) is responsible for processing Bias Incident Reports. The membership of B.I.R.T. is as follows: Deondra Devitt, Joe Frake, Charles Garber, Tatiana Hurtado, Tim Jenkins, Byron Martin, Stacey Miller, Stacey Turmel. Erica Rusch serves as administrative support.

SPECIAL NOTE: The sentence below only applies if you upload files/photos/etc. If you are just submitting the form anonymously, your Google account identifiers (eg. email, username) will NOT be recorded.

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