Incident Report Form

Health Topics: 
Program or Department: 
Eligible Participants: 

Incident Report Form is to be used for the reporting of all incidents of (1) discrimination and discriminatory harassment, (2) bias and/or hate crime, (3) retaliation, (4) sexual harassment and/or violence.

How To Access:

Visit the online form, or contact the Affirmative Action and Equity Office at (603) 862-2930 (Voice), TTY Users: 7-1-1.

If you have observed, experienced or been provided information about an incident of sexual harassment, and, or sexual violence, discrimination, harassment, retaliation or bias, please report the incident by contacting the Affirmative Action and Equity Office at(603) 862-2930 Voice / TTY Users 7-1-1 or submit a report via the Incident Report Form (IRF). Anonymous reports may be submitted with the exception of Mandatory Reporters.