COVID-19 Campus Safety Policy Concern
This form is used to report behaviors inconsistent with or in violation of Brown's COVID-19 Campus Safety Policy. Note that this is not a 911 emergency service. In an emergency, contact Brown University Public Safety at 401-863-4111 from any campus location. The University will do its best to look into the concern, and any information provided on the form will be used to inform communication around the COVID-19 Campus Safety Policy. If the information is not detailed, it may affect Brown's ability to review the specific matter reported.
To report a concern about an undergraduate student, graduate student, or medical student, please click the link below:
To report a concern about a staff, faculty, or other member of the Brown community, please continue below. You do not need to include your first or last name, email address, phone number, or relationship to Brown on this form.
Your first name:
Your last name:
Your email address:
Your phone number:
What is your relationship to Brown?
Clear selection
Type of concern you are reporting (check all that apply) *
Required
Who was involved in the concern you are reporting? (check all that apply) *
Required
Can you identify the Brown University community member, contractor (company name), etc., regarding the concern you are reporting? If yes, and if known, please list details, such as name, department works in, below. If not, please list "no". *
How did you become aware of this violation? *
List the date(s) and time(s) this occurred: *
List the location, building, floor, room number, outdoor location, etc., where this occurred: *
Provide a brief description of the concern you are reporting as well as any additional details that were not previously covered above and could be valuable in reviewing this matter. *
Have you reported this concern to a supervisor (for employees) or other University official? If so, please list name and department. *
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