DOS Student Conduct & Community Standards

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Date of incident(Required):

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Involved Parties

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Questions

Please provide a detailed description of the incident that explains what you saw, heard, and/or experienced directly, including incident date, time, and location.(Required) This field is required.

Is there other information (e.g., a background story that explains the context, information you have come to learn since this incident, etc.) that you would like to provide? This field is required.

What is your relationship to the people involved in this incident (e.g., friend of the accused, roommate of the victim, do not know any of the people involved personally, etc.)?(Required) This field is required.

My signature below indicates that I have provided an accurate summary of the incident(s). I grant permission for the University to use and share this information as necessary to complete its investigation. Your digital signature has the same legal effect and consequences as a handwritten signature. Please type your full name.(Required) This field is required.

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DOS Student Conduct & Community Standards - Witness Statement Form

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Involved Parties

Questions

Supporting Documentation

Submission