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Reporting Other Conduct of Concern


Use this form to report general complaints against employees or volunteers at Cal Poly Humboldt. These may be directed at individuals, departments and offices, or campus policies. This form may also be used if you are uncertain what other reporting tool should be used. It will be reviewed and forwarded to the appropriate division. 

The University takes allegations of unprofessional conduct, abusive conduct, microaggressions, acts of intolerance, and other disruptive behavior by individuals (whether employees or volunteers) very seriously. It's important that anyone who has experienced such behavior has the opportunity to report it so that the issue can be addressed.

Forms are reviewed during typical business hours. Once submitted, please allow 24-48 hours for processing. If this is an urgent matter, please contact UPD at 707-826-5555. For all emergencies, call 9-1-1.

Background Information

You are STRONGLY encouraged to provide your name and contact information. This allows us to most effectively address the concerning behavior. While anonymous reports are accepted, they may not be investigated.

 
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Involved Parties

Please provide us with the name of all parties involved in the complaint (including your own if you are both filling out this form and the person filing the complaint).

Definitions:
Affected Party: Person who is raising this issue
Alleged: Person or Department who this the issue is about
Involved Party: Additional people who have knowledge about the incident or issue
Witness: Person who can substantiate claims due to being a witness to what happened

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Complaint Details

Please answer the questions below to the best of your ability. If you need assistance, you can contact our office at (707) 826-3387

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Once submitted, this form will be routed to the appropriate administrator. Please mark that you understand and do not have any objections to that next step:(Required)
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Affected parties are urged to communicate with the person with whom they are experiencing a conflict directly, as a means to resolve the issue. This is not always possible. When those efforts have not been successful or if there are extenuating circumstances preventing informal resolution, this form should be submitted and it will be routed to the appropriate administrator for processing. For our records, please indicate with whom you have discussed this matter, if applicable:
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Supporting Documentation

Please provide any supporting documentation that you may have regarding your complaint. Examples may include emails, voicemail, a syllabus, copies of assignments or any other files that you would be able to upload. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission