Discrimination and Harassment Report

Background Information

Washington and Lee strongly encourages all good-faith reports, and will respond to all reports based on the information that is shared. Washington and Lee wishes to support you and others affected by the contents of this report. The University understands, however, that there may be reasons why you might choose to withhold your identity or the identity of others involved. You may leave name and contact information blank if you wish to be anonymous.

Your full name:

Your phone number:

Your email address:

Email address must be of a valid format.

Your physical address:

Nature of this report(Required):

This field is required.

Date of incident(Required):

This field is required.

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If you do not know the exact date, offer your best guess and explain further in your narrative

Time of incident:

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If you do not know the exact time, you can provide a description of a time range in your narrative

Location of incident(Required):

This field is required.

Specific location:

Involved Parties

Please list the individual(s) involved, including as many of the listed fields as you can provide. You may leave name and contact information blank if you wish to withhold the identity of others involved.

Name or Organization

Select Role

Phone number

Email address

Hall/Address

Questions

Please provide a detailed description of the incident/concern(Required) This field is required.

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

Background Information

Involved Parties

Questions

Supporting Documentation

Submission