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Bias-Related Incident Report

The University of North Carolina at Charlotte is committed to fostering a safe and welcoming campus community for all who have been a target or witness to a hate or bias incident. This online form may be used to make the University aware of these incidents.

If this is an EMERGENCY situation, call 911 or contact Campus Police and Public Safety at 704‑687‑2200. Do not use this form to report events that present an immediate threat to health or safety.

Your trust is very important to us, and we will make every effort to respect your privacy. However, in certain circumstances we cannot guarantee anonymity.

If your concern is related to dating violence, domestic violence, sexual or gender-based harassment, sexual misconduct, stalking, and/or related retaliation, please complete the "Report Sexual and Interpersonal Misconduct" form so that the information is routed directly to the Title IX Office for review.

Your Information

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Your full name:

Your university affiliation:

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(student, staff/faculty, parent etc...)

Your cell phone number:

UNC Charlotte Email Address:

Date of incident(Required):

This field is required.

Time of incident:

Location of incident(Required):

This field is required.

Specific location:

Involved Parties

Please list the names of ALL individuals (or organizations) involved and impacted, including yourself. If you do not know all information for an individual, complete as much as you can.

Name or Organization

Select Gender

Select Role

ID Number

DOB (YYYY-MM-DD)

Phone number

Email address

Hall/Address

Questions

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.

Email me a copy of this report

Your Information

Involved Parties

Questions

Supporting Documentation

Submission