If you have already reported the situation or incident to another office or individual, please provide us with their name and contact information. This will facilitate coordination.
The context of the situation or incident is a very important element. Please indicate your status in order to provide us with some context.
I am a/an:
The subject of the report.
If you don’t know the respondent’s status, please include as much information as possible in the free form comments section.
The start date refers to when you first witnessed or were involved in the situation. If it is ongoing, then do not enter an end date.