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Bias Incident Report Form


Auburn University is committed to providing a safe and inclusive environment for all members of the community. Students, faculty, and staff all play a vital role in creating living and learning spaces that are free from bias, discrimination, and harassment. A bias incident involves actions committed against or directed toward a person or property that are motivated, in whole or in part, by a bias against race, color, religion, sex, sexual orientation, gender, gender expression, gender identity, national or ethnic origin, age, disability, or other protected classes. If you have been the target of a bias incident (or have witnessed a bias incident) you are encouraged to complete the online form below.

Reports will be reviewed by the Auburn University Bias Education and Response Team (BERT) during regular business hours when the university is open. Upon receipt of the form, a BERT member will contact you to discuss the incident and share information about campus and community support services.

If this is an EMERGENCY situation, CALL 911. Do not use this form to report events that present an immediate threat to health or safety.

Background Information

• Your confidentiality and trust is very important to us. We will make every effort to respect your privacy. Please be aware, however, in certain circumstances involving safety or potential criminal action, we may not be able to guarantee complete anonymity. Regardless of the situations, matters are generally handled discretely and in conformity with university privacy policies, and information about individuals or situations will only be shared with individuals with a legitimate need to know.




• While anonymous reports are acceptable, it may limit our ability to obtain the information we need to respond to an incident and/or to provide campus community support to you or others who experienced the incident. Anyone reporting an incident through this form is encouraged to provide a phone number and/or an e-mail address so that we may contact you.

 
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Involved Parties

Please list the individuals involved (including yourself, if appropriate or if you choose) and provide as much information in the listed fields as you can. Please list an AU ID # or Driver’s License number (if known) in the block labeled ID Number. Witnesses to the incident should also be identified here. If the name/identity of a person is unknown to you, please enter "Unknown Person" as the name in this section and then describe the individual(s) in as much detail as possible below in your narrative (age, gender, organization/department affiliations, etc.).

When considering the roles of individuals involved, please use the following definitions as a guide:

  • Alleged: Individual alleged to have engaged in conduct that violates policy, or has impacted another party.  
  • Impacted Party: Individual who has been impacted by the behaviors of the Alleged; the individual to whom the misconduct was directed.
  • Person of Concern: Someone who may need support dealing with a crisis and/or concern, or the subject who is a concern for the reporter. There is not enough information about this individual to indicate they are alleged to have violated policy. 
  • Witness: Someone who can provide information about the incident or may have been indirectly impacted by misconduct. A witness is not alleged to have engaged in a potential policy violation or behavior that has impacted another person.
Involved party 1

Additional Questions

What is your university affiliation?(Required)
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NATURE OF ALLEGED BIAS: Please check all the categories below that describe this incident. We also strongly encourage you to fully describe, in the narrative section below, all the details of the incident, including the reasons you believe the incident was motivated by bias.(Required)
You must make at least one selection.
NATURE OF INCIDENT: Please check all types of conduct involved in this incident. Please also be sure to fully describe the incident in the section below.(Required)
You must make at least one selection.
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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission