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Office of Institutional Diversity and Inclusion at Northeastern University Bias Incident Report Form Instructions: If you have been the subject of or a witness to a bias incident, please complete
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How to fill out bias incident report form

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01
Start by gathering all necessary information: When filling out a bias incident report form, it's important to gather all the relevant details about the incident. This may include the date, time, and location of the incident, as well as any witnesses or individuals involved.
02
Describe the incident accurately: Provide a detailed account of what happened, including any offensive language or actions that were observed. It's important to be as specific and objective as possible in order to provide an accurate representation of the incident.
03
Include any supporting evidence: If you have any evidence to support your report, such as photographs, videos, or documents, make sure to attach them to your report. This can help provide additional context and evidence for the incident.
04
Provide contact information: Include your contact information so that the appropriate individuals can follow up with you if needed. This may include your name, phone number, and email address.
05
Reflect on the impact: Describe the impact that the incident had on you or others involved. This can help provide a deeper understanding of the consequences and implications of the incident.
06
Submit the form to the appropriate authority: Once you have completed the form, make sure to submit it to the designated authority. This may be a bias incident response team, human resources department, or any other designated body responsible for handling such incidents.
Who needs a bias incident report form? Bias incident report forms are typically relevant and necessary for individuals who have experienced or witnessed incidents of bias or discrimination. This can include students, employees, customers, or any other individuals within an organization or community. The form serves as a means to document and address these incidents, ensuring that appropriate actions can be taken to prevent future incidents and promote a more inclusive environment.
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The bias incident report form is a document used to report incidents of bias or discrimination.
Anyone who witnesses or experiences a bias incident is required to file the bias incident report form.
To fill out the bias incident report form, provide detailed information about the incident, including date, time, location, individuals involved, and description of the incident.
The purpose of bias incident report form is to document and address incidents of bias or discrimination within an organization or community.
Information such as date, time, location, individuals involved, description of incident, and any supporting evidence must be reported on bias incident report form.
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