Division of People and Culture
Employee Relations (501) 686-5650
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
Pick one...
Faculty member
Patient
Resident
Staff member
Student
Visitor
Other
Unknown
I'm making this report on behalf of someone else.
Yes
No
Which choice applies to this complaint?
Bullying in the workplace
Falsification/misrepresentation
Health and Safety Concerns
Interpersonal Relations/Communication
Retaliation
Social Media
Suboptimal Quality of Care
Theft/fraud
Other violations
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?
Yes
No
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
Pick one...
Faculty member
Patient
Resident
Staff member
Student
Visitor
Other
Unknown
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.