Discrimination, Discriminatory Harassment and Sexual Misconduct Reporting Form







Please provide the date and time or dates of the incident. If unsure, please describe the time period or general description.

Where did the incident occur?

Please enter the name(s) of individuals and/or departments, student groups, etc., involved in the situation. Please include uniqname(s) and/or UM ID, if available.

Please provide a brief description of the issue of concern, with as much detail as possible.

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