Professional Misconduct Report

NOTE:
All fields are required unless otherwise indicated. Please click Save at the bottom of each page to proceed to the next one. On the last page, click Submit to submit the report.
 
Reporter type
Your relationship to UAMS
 
I'm making this report on behalf of someone else.
 
Which choice applies to this complaint?
 
Information about the accused person
If you are a UAMS employee, have you spoken to your immediate supervisor or other leader within your chain of command about your concerns?

If no, why?
 
Most incidents can be addressed internally with your department leadership, by going up the chain of command, prior to filing an i-safe incident report. This office will review the complaint and determine the appropriate next step.

If your manager is the subject of your complaint, we may contact you to gather more information about the complaint to determine the appropriate next step.
 
Relationship to UAMS


Accused person's name (if you don't know it, enter Unknown).


Accused person’s description (if you don’t have a name, describe only the accused person here).


 
 

Click Save to save information about you and the accused person(s). On the next page, you will enter details about the incident.