Online Hate Crime and Bias Incident Reporting

In an emergency, dial 9-1-1. this e-mail form will be directed to the Dean of Students' Office and/or Office of Institutional Equity when you click on the "Send Message" button below. Information reported on this form may be submitted anonymously and is considered confidential to the extent permitted by law and/or consistent with the University's mission. You may also call us during regular business hours at 734.615.BIAS (2427). Thank you for contacting us.

1. Your Name:
2. Are you a:

3. Are you a:

4. May we contact you for additional information?
Please note that our ability to account for incidents and to be responsive will be enhanced by your willingness to be contacted.

5. Best way to contact you:
(provided in E-mail address above)
6. If you prefer not to be contacted, is there someone else who can be contacted for more information? Please indicate the name of the person and how to reach him/her. Please provide a short explanation of why you cannot be contacted directly and how this other person can be helpful.
7. Information about the incident: