HSRC Report a Concern Form


Please provide the following information about the incident of concern:

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mm/dd/yyyy
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hour:minute
Time of Incident:
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(on-campus, residence hall, academic building, off-campus, retail or grocery etc
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Be specific about what you observed or experienced:
Do you want to remain anonymous? *
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Do you want to be contacted?
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(509) xxx-xxxx
Field needs to be a valid email address.