Hate/Bias Incident Report Form

Relevant excerpt

What is a hate/bias incident?

A hate/bias incident is any physically or verbally harmful act that is motivated by (or appears to be motivated by, in whole or in part) any of the following factors: race/ethnicity, religion, national origin/immigration/citizenship status, sex, sexual orientation, gender identity or expression, economic status, language, age, pregnancy or family/marital status, disability, veteran or military status, or any other identity status protected by University policy.

What is the purpose of this form?

The purpose of this reporting form is to monitor potential hate/bias incidents that occur on and/or off campus to UWL students or employees. The identity of the reporter and/or person(s) impacted will be kept confidential to the extent possible under applicable state and federal law. Submitting this form may or may not result in criminal or university action, depending on the type of incident and any necessary further action. It is always the goal of the Hate Response Team to protect the wishes and needs of the reporter.

Who should complete this form?

Anyone who has experienced, witnessed, or learned of a potential hate/bias incident should complete this form. You may fill out as much or as little information as you choose. The ability of the University to respond may be limited if key information is not provided and we are unable to learn more from the reporter.

Download PDF