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Your Information

Involved Parties

In the following section, please provide information regarding the individuals involved in the incident. Please identify involved parties based on the following roles:

  • Reporting party: any person(s) who may have been subjected to harassment or misconduct. This includes individuals who were not present during the incident but received information regarding the incident from those who were involved.
  • Responding party: any person(s) or organization accused of causing harm.

Witness: any person(s) who may have directly observed an incident or have direct or indirect knowledge related to an incident of harassment or misconduct.


Individual or Organization #1

Individual or Organization #2 (If Applicable)

Individual or Organization #3 (If Applicable)