SUNY Broome Community College Logo

Bias Incident Reporting Form


If this is an emergency please dial 911. Following your call to 911 and for all other non-immediate issues please complete the form below. Reporting forms are reviewed during regular business hours, Monday through Friday.

Reporting Party Information

You may submit this form anonymously by not inputting your contact information.

*Please note that by doing so you may hinder the college's ability to complete a thorough investigation into this matter.

 
Enable additional features by logging in.
Email address must be of a valid format.
This field is required.
This field is required.

Who Was Involved

Please list the individuals involved (excluding yourself). Fill in as much as you can, but it is OK if you don't know everything.

Involved party 1

Questions

Please select the Type of Incident. (Check all that apply)(Required)
You must make at least one selection.
This field is required.
This field is required.
What was the nature of the Bias?(Required)
You must make at least one selection.
This field is required.
Was SUNY Broome Public Safety, or any other Law Enforcement Agency, involved in this incident?(Required)
This field is required.
This field is required.
What is the best way to contact you should we need to follow up?(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.

Submission