CUSID Equity Report Form
Welcome to the Equity Report Form. Thank you for reaching out. This form is only accessible by the Ombudsteam.

To contact a specific member of the Ombudsteam, please reach out to:

Jim Gavin, East Ombuds
eastombuds@gmail.com

Melinda Worboys and Isabella Lu, Central Ombuds
centralombuds@gmail.com

Rachel Cabalteja, West Ombuds
cusidombudswest@gmail.com

Emily Xie, National Ombuds
cusid.nationalombuds@gmail.com
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Name
This question is optional.
Region
(i.e. Central, East, West, outside of CUSID). This question is optional.
Please expand on your equity question/concern *
Go into as much detail as you feel comfortable.
Can we reach out to you to follow-up with you? If yes, please provide a way to contact you below.
Feel free to list your email, phone number, Facebook, Instagram, etc. Whatever feels the most comfortable for you to be reached at. If you do not want to be contacted for a follow-up, please put "No" in the answer box below., or leave this question empty.
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