Report
Use this form to report discrimination, harassment, including sexual harassment or misconduct, or any matter that you believe to be a violation of University policy PPM 3-32.  Submission of this form is considered the first step in the process of filing a report and is not considered a formal complaint.

Reporting anonymously, may not allow the Office of Equal Opportunity (OEO) to thoroughly investigate the matter. The OEO maintains the privacy of those who report and make forward complaints.  

You will be contacted by someone from the OEO to give you more information and invite you to provide more detail.
Sign in to Google to save your progress. Learn more
Email *
What type of incident(s) are you reporting? *
Required
When did the incident(s) happen? *
MM
/
DD
/
YYYY
Where did the incident(s) take place? *
Description of the incident(s) (please specify as much as possible) *
Name of respondent(s) or persons involved or responsible for the incident(s). Please include as much as information as you can about the respondent(s). *
Who else has information about the incident(s)? Please include their contact information (email and phone). (Is there any other evidence available to you or the others? Are there any witnesses or evidence?) *
Are you a student, an employee, faculty, an adjunct, a contractor of WSU, a visitor, or other? *
Required
Please describe any questions or concerns you may have.
Please type your first and last name:
Your contact information (email and phone): *
How can we contact you? *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Weber State University.

Does this form look suspicious? Report

Google Forms