Bias-Related Allegation/Incident Report

When a Bias Related Allegation/Incident Report arises at a chapter, the following information must be obtained immediately. Once submitted, this information will be reviewed and investigated.

Date of Incident *

Month

Day

Year

Chapter *

Address *

Country *

Address 1 *

Address 2

City *

State *

ZIP code *

Noble Ruler *

Noble Ruler's Phone Number *

Noble Ruler's Email *

Adviser *

Adviser's Phone Number *

Adviser's email *

Alumni Corporation President *

Alumni Corporation President's Phone Number *

Alumni Corporation President's Email *

Name of Injured Party *

Phone Number of Injured Party *

Witnesses and Phone Numbers *

Description of What Happened (What, When, Where, How Much, etc.) *

Bias-Related Allegation/Incident Report

Audience

Action

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