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Bias Incident Reporting Form


Please notify Loyola University Police Department (504-865-3434 for on-campus; 911 for off-campus) if there is an immediate risk to life or property.



This report form is for the use of current students, faculty, staff and community members. Please provide detailed information regarding the bias incident.

A bias incident is an act of discrimination, harassment, intimidation, violence, or criminal offense committed against any person, group, or property that appears to be intentional and motivated by prejudice or bias.

Bias incidents are usually associated with negative feelings and beliefs with respect to others' race, ethnicity, national origin, religion, gender, gender identity, sexual orientation, age social class, political affiliation, disability, veteran status, club affiliation, or organizational membership. 

Once the form is received, a member of the Bias Incident Response Team will review the information and take appropriate action, which may or may not include contacting the student, you, and any others you have identified. If you have any questions related to completing a Bias Incident Report Form, please contact the Office of Equity and Inclusion (504-865-2304).



Background Information

 
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If you or someone involved in this incident is in immediate danger, please call 911, then complete.
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Involved Parties

If you know the names of any person involved in this incident and feel safe disclosing, please do so below. There is an option to add multiple individuals' information.

Involved party 1

Questions

Type of Incident (Check all that apply)(Required)
You must make at least one selection.
Nature of Bias (Check all that apply)(Required)
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Would you like a member of the Bias Incident Response Team to follow up with you?(Required)
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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.

Submission