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?
    if "Other violations", please enter:
 
Information about the accused person
Have you spoken to your immediate supervisor or other leader within your chain of command about your concerns?
  • Most concerns can be addressed internally with departmental leadership.
  • Your department manager may be contacted to review your complaint and to work with you to determine the relevant facts and circumstances in the matter, as well as to seek a resolution to resolve your concerns.
  • If your manager is the subject of your complaint, we will reach out to the next level manager in your departmental chain of command.
 
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.