Submit an incident report

The College of Engineering is committed to protecting the rights and dignity of every individual in our community. We encourage you to let us know by using this form if you encounter or suspect incidents of bias, discrimination or harassment.

This form is for non-emergency incidents. If your immediate safety is at risk or you perceive imminent harm to yourself or others, please call 911. UW SafeCampus is also available 24 hours a day at 206-685-7233 to anonymously discuss safety and well-being concerns. This includes support following experiences of sexual assault, sexual harassment, stalking, and/or relationship violence.

Read frequently asked questions

* indicates a required field

First Name

Preferred first name

Last Name

E-mail Address

We are required to initially collect this information for safety purposes. Reporter identity is kept confidential and never publicized.

I am a

Student

Faculty

Staff

Other community member

Date of incident

The date can be broad if needed such as a particular month or quarter

Brief description of incident

Please provide a description of the incident and any additional concerns you would like us to be aware of. If you have any desired outcomes, please note them here.

Communication preferences

I am okay with being contacted if additional information is needed.

I do not want to be contacted at all after submitting my report.

Other…

I would like to remain anonymous going forward

If this option is selected, we will not share your name in any conversations connected to this report. This may also include advocating on your behalf in various meetings with your permission and input if desired.