Hazing Report Form

Reporting Party's Contact Information

Anonymous Reporting: You may choose to report anonymously, understanding that this might limit our ability to investigate fully. If possible, provide a means to contact you anonymously for crucial follow-up details.

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Your full name:

Your phone number:

Your email address:

Email address must be of a valid format.

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If you wish to remain anonymous, please create an anonymous email account to communicate

Date of incident(Required):

This field is required.

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If unsure select an approximate date or today's date

Time of incident:

Location of incident(Required):

This field is required.

Specific location:

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Room numbers, hallway, stairwells, off-campus address, etc.

Involved Parties

Detail any individuals or organizations you believe are involved. It's okay if you don't have complete information.

Name of Student or Organization

Select Role

ID Number

Phone number

Email address

Residence Hall/Address

Incident Description

The more detailed information provided in this section the greater likelihood that we will be able to intervene to stop the hazing and provide resources to those harmed.

Describe the Incident: Share a clear and concise account, including relevant dates, times, locations, and involved parties. Objective details and direct quotes enhance our ability to respond effectively.(Required) This field is required.

Did the incident result in injuries requiring medical attention? Yes/No/Not Sure(Required) This field is required.

If you are open to follow-up communication, please provide contact information. This enhances our ability to assist and gather further information. This field is required.

Supporting Documentation

If you have any documentation such as photos, videos, text messages, emails, or other supporting evidence, please upload them here (Note: HEIC documents are not able to be viewed). 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Email me a copy of this report

Reporting Party's Contact Information

Involved Parties

Incident Description

Supporting Documentation

Submission