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Bias-Related Incident Reporting Form


To report an emergency or criminal activity, call the University Police Department at 585-245-5222 or 911.

At SUNY Geneseo, we are committed to helping every member of our community reach their full potential by fostering an environment that allows everyone to feel affirmed, regardless of identity or background. Bias-related incidents challenge and contradict this commitment, as expressed in our Community Commitment to Diversity, Equity, and Inclusion (https://www.geneseo.edu/diversity/commitment).

In the event that you experience or witness an incident that may be rooted in bias, you may choose to report it through this new online form. Anyone can use this form and it is recommended that you file as soon as possible after the incident.

What is bias?
A bias-related incident or bias incident is motivated, in whole or in part, by the offender’s bias against the actual or perceived age, ancestry, color, disability, gender, gender identity, gender expression, national origin, race, religion, religious practices, sexual orientation, marital status, veteran status, or military status of the targeted person or group, but does not rise to the level of a criminal offense. For more information regarding bias incidents (https://www.geneseo.edu/diversity/procedures).

When filing a report:
- provide as much information as possible by filling out as many fields as possible and thoroughly describing the incident where prompted.
- use the third person and past tense when describing the incident (ex: instead of saying “I am being called a slur,” please write “John Doe was walking down the hall in Doty Hall when he was called a slur by Jane Doe.”).
- you may file this report anonymously, keeping in mind that appropriate follow up can be more effectively facilitated if you provide your contact information. Follow up may include further investigation and contact from campus resources to address your needs following the incident.

This form should not be used to report incidents of sexual and interpersonal violence or gender discrimination that fall under the scope of Title IX. Please use the Title IX Report form (https://cm.maxient.com/reportingform.php?SUNYGeneseo&layout_id=2) and contact the Title IX Coordinator at 585-245-5023 (office) or 585-502-4581 (cell).

Background Information

Please complete this section with your information.

 
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Involved Parties

Please list the individuals involved and complete as many of the listed fields as you can.

Involved party 1

Incident Information

This field is required.
2. How did you experience the act of bias you are reporting?(Required)
This field is required.
3. Are you concerned for your own safety/welfare?(Required)
This field is required.
4. Are you concerned for someone else's safety/welfare?(Required)
This field is required.
5. Type of incident (selected as many as applicable).(Required)
You must make at least one selection.
This field is required.
7. Type of bias (selected as many as applicable).(Required)
You must make at least one selection.
This field is required.
9. Who was primarily targeted in the incident?(Required)
You must make at least one selection.
10. Who engaged in this behavior?(Required)
You must make at least one selection.
11. Have you reported this incident to University Police or local law enforcement?(Required)
This field is required.
12. We may wish to contact you to obtain additional information. Do you consent to our contacting you, if needed?(Required)
You must make at least one selection.
13. What is your preferred method of contact?
You must make at least one selection.
This field is 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