Community Standards Violation (non-academic violations)

Background Information

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Nature of this report(Required):

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Urgency of this report(Required):

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Date of incident(Required):

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Time of incident:

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Involved Parties

Please list the individuals involved (excluding yourself), including as many of the listed fields as you can provide. For non-students, please list a Drivers License number in the block labeled SID if available.

Name or Organization

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ID Number

DOB (YYYY-MM-DD)

Phone number

Email address

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Supporting Documentation

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Background Information

Involved Parties

Supporting Documentation

Submission