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Individual Reporting the Incident: (Can report anonymously but it makes it much more difficult for us to follow up and address the behavior)
UFID (if student/faculty):
Phone Number (10 digits):
Date of Incident:
What organization was involved in the hazing?
Location of Incident:
Witnesses to the Incident (please list all witnesses):
Was anyone injured? Yes No
Was alcohol involved? Yes No
Were any organization advisors present? If so, who:
Were any organization/team leaders present? If so, who:
Were any team coaches present? If so, who:
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 (type your name):
Dean of Students Office
202 Peabody Hall
PO Box 114075
Gainesville, FL 32611
Phone: (352) 392-1261
Fax: (352) 392-5566
Last updated March 29, 2016.