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Preferred Contact Method:   Please note that unless you provide a contact method, we cannot follow up.



     

Information about Involved Student (Respondent)


        


Possible Witness(es) Information


Incident Information




Please note: While anonymous complaints may be received, Western will have limited ability to respond to such complaints.

You will be contacted within 72 hours by a member of the Conduct Office to confirm the form’s information and to review the next steps.