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Incident Reporting Form


The incident reporting form is one of several ways for members of the University community to report any type of incident that is concerning, harmful, and/or contrary to the Wesleyan's Community Standards. Incidents can also be reported directly to Public Safety, The Office for Equity and Inclusion, Human Resources, or the Office of Dean of Students.

Please note that submissions using this form may not be reviewed outside of normal business hours. If there is an immediate risk to health or safety, please contact Wesleyan Public Safety at 860-685-3333 or dial 911

Reporter's Information

Wesleyan is committed to protecting the privacy of community members who report incidents to a University office; however, if you choose to report an incident anonymously, the ability of the University to follow-up will be limited.

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Providing your name will allow for a more complete investigation.
Email address must be of a valid format.
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This selection will direct the report to the appropriate office for follow-up.
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Involved Parties

Involved party 1

Report/Details

Concerning and Threatening Behavior Details
You must make at least one selection.
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Title IX Gender-based Sexual Misconduct Please note that all faculty members, staff members, and administrators, with the exception of those working in a confidential capacity (e.g. rape crisis advocates, medical providers, and clergy) are expected to report any disclosures that involve allegations of gender-based misconduct. If you are reporting a Title IX concern, have any other Wesleyan or community resources been contacted? Check all that apply.
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Supporting Documentation

Attachments require time to upload, please be patient after you click to submit this report. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission