Report

Name * Required
First Last
UFID

(if student/faculty)
Email * Required
Phone Number * Required
Date of Incident * Required
Time of Incident * Required

: Hours

Minutes

AM/PM
What organization was involved in the hazing? * Required
Location of Incident: * Required
Witnesses to the Incident: * Required

Please list all witnesses
Was anyone injured? * Required
- Yes
- No
Was alcohol involved? * Required
- Yes
- No
Were any organization advisors present? If so, who: * Required
Were any organization/team leaders present? If so, who: * Required
Were any team coaches present? If so, who: * Required
Please describe in as much detail as possible what happened:
I agree that the above statement is true and accurate to the best of my knowledge. I understand that I may be contacted by Student Conduct and Conflict Resolution to provide further information or serve as a witness for a student conduct hearing.
Electronic Signature * Required

Type your name