We are working hard to create policies and spaces that allow us to advance our
missions of research, education, innovation and discovery while protecting
community health and mitigating risk.

If you have a concern regarding working conditions, protocols, or compliance, or
have any suggestions for things that could be improved, please let us know. You
may answer anonymously, or include your contact information if you would like
us to follow up. This is not required.

In the case of a health or safety emergency, or if you need immediate assistance,
do not use this form, call 911 (9-911 from campus phones).
Affiliation with CNSI *
Choose One *
Suggestion or Concern Regarding: *
Area of building regarding your Suggestion or Concern *
Please describe your Suggestion or Concern *
Would you like to be contacted for follow-up?
Clear selection
First Name
Last Name
Never submit passwords through Google Forms.
This form was created inside of University of California, Santa Barbara. Report Abuse