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Discrimination, Harassment, Retaliation or Bias Incident Reporting Form


Please complete the information below to the best of your ability. Required fields are denoted with an asterisk (*).

If this is an emergency and you need immediate assistance, please call the Lehigh University Police Department at 610-758-4200.

Reporter's information

You may file this report anonymously or you can include your information below.

 
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Involved Parties

Please list all of the involved parties. If you are not reporting this anonymously, please include yourself as an involved party.

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Questions

Please provide the below information to the best of your ability.

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What personal characteristics do you believe the perpetrators involved in this incident were targeting? (Please check all that apply):(Required)
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What form(s) did the incident take (please check all that apply):(Required)
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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