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CMP Anonymous Incident Report
If you wish to report an incident or concern anonymously, you may do so by completing the
CMP
Anonymous Incident Report
below.
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* Indicates required question
Date of incident
*
MM
/
DD
/
YYYY
Time of incident
If the exact time is unknown please give an approximate time
*
Time
:
AM
PM
Type of incident
*
Bullying / Harassment
Safety Concern
Behaviour
Other
Required
Details of the incident
Provide a clear and concise description of the incident. Include any relevant details such as location, individuals involved, witness accounts, action taken at the time and evidence (if available).
*
Your answer
Impact of the Incident
Describe how the incident impacted you or others. Explain any harm caused - emotional, physical, other (where applicable).
*
Your answer
Desired Outcome
State what you would like to see happen as a result of filing this report.
This could be an investigation, disciplinary action or a change in policy.
Your answer
Optional Information
Additional information that may be helpful, contact details (if you are comfortable providing them) or suggestions for improvement.
Your answer
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