Bias Incident Form

Bias Incident Form

  • Chief Bias Officer(s) may be in contact with reporting party for follow-up information or interview.
  • MM slash DD slash YYYY
  • :
  • Provide a brief description of where the incident occurred.
  • Please detail everything you know or can recall about this incident. If you feel comfortable, include information about who was involved. Please provide as much information as you can.
  • Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 256 MB.
    Please provide any supporting information that is relevant to the report (such as screenshots, pictures, or messages)
  • This field is for validation purposes and should be left unchanged.