Harassment complaint

We’re sorry to hear you have had to deal with harassment in ACU.

We take this matter very seriously and we would like you to help us battle harassment by filling out the form below. Of course we will handle this discreetly.

Harassment complaint

Safety

and Security

About this form

This form is to file a Harassment complaint. You may fill in this form if you or someone you know has been victim to harassment in ACU.

Please note: We only use the information you provide to investigate the harassment incident. We handle your information discreetly and, if you would choose so, anonymously.

Do you want to file an other kind of complaint?
Please use the form on our contact page.

1 Personal information

Name

Email address

Phone number

2 Incident information

Date of incident

Time of incident

Name of harasser

At whom was the harassment directed?

If toward another person, please identify them

Describe the incident as clearly as possible.
Include a full description of the events, verbal statements (i.e., threats, demands, swearing, etc.) and if any physical contact was involved.

3 Additional information

Where did the incident occur?

List any witnesses who were present

How did you or the other person harassed (if not you) react to the harassment?

4 Submission

I hereby certify that the information I have provided in this complaint is true, correct and complete to the best of my knowledge.

Once you submitted the form, we will investigate the incident.

Creating safe spaces and battling harassment, together.