Division of People and Culture
Employee Relations (501) 686-5650
Sexual Harassment/Gender Discrimination 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
I'm filling this report on behalf of:
Myself
Someone else (the victim)
Your relationship to UAMS
Pick one...
Faculty member
Patient
Resident
Staff member
Student
Visitor
Other
Unknown
Which choices apply to the complaint? You may choose more than one.
Gender/Sex Discrimination
Sexual Assault
Sexual Exploitation
Sexual Harassment
Dating Violence
Domestic Violence
Stalking
Retaliation
Other
if "Other", please enter:
Information about the accused person
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.