Bias Education and Response Team Incident Reporting Form


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1. Marking the space FOR INFORMATION ONLY will provide the University of Florida’s Bias Education and Response Team with information on our campus climate. This data will be used in an attempt to improve our campus through education, programming, and other activities related to bias. All information that might identify you will be deleted. 2. Marking the space TAKE ACTION will generate contact from a member of the University of Florida’s Bias Education and Response Team within 24 hours. The team will offer support and provide options for you. Any decision on how to proceed with this incident will be yours to make.


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Incident Report




Include any information you have identifying the person involved. Please include name of person(s) and or groups(s), e-mail, contact phone number(s), and/or UF ID number(s).


Please describe what happened in chronological order using people's names whenever possible.











Please upload any information supporting the concerns in this report. This may be e-mails, video, photos, etc.

BRT Reporter Information


You may choose to state your name or enter "anonymous". However, in order to provide follow-up, support, or advocacy the University of Florida’s Bias Education and Response Team would need a way of contacting you. Please remember that the professional reviewing this report will keep information you submitted in confidence according to state and federal laws. The University of Florida’s Bias Education and Response Team strives to honor your wishes but may need to take specific actions based on the submitted information to protect the health and welfare of the University community.


To remain anonymous, please enter "anonymous@ufl.edu"


To remain anonymous, please enter "000-000-0000"


To remain anonymous, please enter "0000-0000"







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