Bias Incident Reporting Form

Please do not use this form to report events that present an immediate threat or require emergency service. If you require emergency assistance, please call Campus Safety at 
(716) 479-1233 or 911.

Your Information

Incident Details

Please note that the completion of this form does not replicate or replace existing processes to review and resolve complaints made on the basis of bias. The Committee on Diversity and Inclusion will make referrals to appropriate offices or person who will then investigate and respond to bias incident reports.

While anonymous reporting is possible, the ability to gather important information is enhanced when the staff person receiving the report is able to confer with the person making the initial report. As such, an anonymous report may result in an incomplete investigation

To the extent possible, the college will maintain the confidentiality of all parties involved in a bias report. Confidentiality, however, cannot be guaranteed.

Click “Submit” to complete the form.