Report Type

What type of report are you submitting?

 

General Incident Information

 Date Picker   

*Location of Incident:

  
  

Incident Questions

Was the incident reported to Campus Police?

  

*What bias(es) do you believe motivated this incident?

 
 

Be as clear and specific as possible answering who, what, when, where, and how.

 
  

Involved Parties

Please provide the names of complainant(s), respondent(s), and witness(es). You will be asked if you would like to provide your contact information in the section that follows.

  • Complainant: An individual who has been alleged to have been subject to the incident
  • Respondent: An individual who has been accused in a report or complaint of conduct
  • Witness: An individual who has first-hand knowledge of the incident
 

Your Contact Information

 

Note, anonymous reports make it difficult for the college to effectively respond to incidents and support our community.

 
          

*Your affiliation with Berry College:

     
  

Supporting Documentation

Please attach any supporting documentation (pictures, emails, screenshots of texts, screenshots of social media, etc.). 5MB maximum total size. Attachments require time to upload, so please be patient after submitting the form.

File
 

Submission

Your Expectations

While the college cannot guarantee any specific outcome as a result of this form submission, we value your input in potential next steps on how to best move forward.