American Society of Mammalogists Misconduct Reporting Form
Misconduct reporting form. Your responses can be anonymous or you can provide your contact information. Please note that if assault has occurred, you should immediately contact the police (911 or local number to be provided during the annual meeting).
At what ASM sponsored activity did the incident occur (e.g., ASM 2018, ASM 2019)? *
Your answer
When did the incident occur – what date? Be as specific as possible; include month, day, and year. *
Your answer
When did the incident occur – what time? Be as specific as possible. *
Your answer
Where did the incident occur? Please be as specific as possible. *
Your answer
What happened? Provide as many details as you can. Options to provide names of witnesses and people involved in the incident are also provided below. *
Your answer
Who was involved in the incident? If you do not know the person’s name, can you please provide a description? There may have been more than one person involved in the incident. If this is the case, please list one person here. Additional individuals can be listed below. *
Your answer
Who was involved in the incident? If you do not know the person’s name, can you please provide a description? There may have been more than one person involved in the incident. If this is the case, please list one person here. Additional individuals can be listed below.
Your answer
Who was involved in the incident? If you do not know the person’s name, can you please provide a description? There may have been more than one person involved in the incident. If this is the case, please list one person here. Additional individuals can be listed below.
Your answer
Who was involved in the incident? If you do not know the person’s name, can you please provide a description? There may have been more than one person involved in the incident. If this is the case, please list one person here. Please put all additional individuals here.
Your answer
Were there any witnesses? If you know their names, please list them here. If you do not know their names, can you please provide a description? There may have been more than one person who witnessed the incident. If this is the case, please list one witness here. Additional witnesses can be listed below. *
Your answer
Were there any witnesses? If you know their names, please list them here. If you do not know their names, can you please provide a description? There may have been more than one person who witnessed the incident. If this is the case, please list one witness here. Additional witnesses can be listed below.
Your answer
Were there any witnesses? If you know their names, please list them here. If you do not know their names, can you please provide a description? There may have been more than one person who witnessed the incident. If this is the case, please list one witness here. Additional witnesses can be listed below.
Your answer
Were there any witnesses? If you know their names, please list them here. If you do not know their names, can you please provide a description? There may have been more than one person who witnessed the incident. If this is the case, please list all remaining witnesses here.
Your answer
Would you like to reveal your identity? If yes, please provide your name here. Please note that single anonymous accusations will require corroboration for action to be taken by the Ombudspersons. *
Your answer
Would you like to be contacted for follow-up? If yes, please provide your contact information (email address, phone number). *
Your answer
For Ombudsperson ONLY: Please enter verbatim account here.
Your answer
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