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Anonymous Bias Report Form

Complainant Information

Entering personal contact information is completely optional. We invite you to submit this form anonymously, however if you would like to be contacted regarding your submission be sure to include the necessary contact information.

Incident Information

What bias do you feel was the target of the incident? Please select all categories that apply.
Please include all pertinent facts, behaviors, comments, gestures, markings, clothing, or distinguishing characteristics.
Optional