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Bias Incident Report Form


If your immediate safety is at risk, if you are witnessing violence, or if you perceive imminent harm to yourself or others, please immediately dial 911.

After submitting a bias incident report, the Bias Response Team will evaluate the report and work collaboratively to develop and implement a response. Detailed information about Oregon State's bias incident response process is available here.

A bias incident report may be submitted anonymously. The Bias Incident Team takes seriously all reports of bias incidents, but its ability to respond to an incident will be limited if it is reported anonymously.

While the Bias Response Team will endeavor to maintain confidentiality of reporters, consistent with university policy and the law, details of a bias incident report may need to be revealed (including the identity of the reporter) in certain circumstances.

If you have questions about completing this form or your reporting options, please contact the Office of Institutional Diversity at diversity@oregonstate.edu or 541-737-1063.

Reporter and Background Information

 
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Please describe the specific location of the incident (building, room, social media site, etc.)

Involved Parties

Starting with yourself, list all parties associated with this incident report. If you are reporting anonymously, please write "anonymous" in the name field.

If an organization is involved, please list the organization or entity.

Involved party 1

Incident Information

Select the perceived motive for the incident. Check all that apply.(Required)
You must make at least one selection.
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Supporting Documentation

Please upload any supporting documentation (pictures, screenshots, recordings, etc.) 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission