Faculty or Staff Complaint Form Imminent Danger Advisory --Please Select--Acknowledged If you believe that you, or another person, are in imminent danger of harm, DO NOT USE THIS FORM. Please contact Public Safety at 718-262-2222 or dial 911 immediately - Public Safety Office is located in the Academic Core Building, Room 1M02 False Complaint Advisory --Please Select--I Acknowledge and confirm Knowing submission of a false complaint through this portal is misconduct and subject to discipline under the Student Conduct Code and or applicable collective bargaining agreement. Location of Incident --Please Select--York CollegeQueens EOCOff Campus - Please explain in descriptionOther -Please explain in description Select the main location of where the Incident occurred Law Enforcement --Please Select--YesNo Has this incident been reported to law enforcement Campus Security --Please Select--YesNo Has this incident been reported to York College Public Safety Date of Incident Most recent event Time of Incident Approximate time of recent event (please add AM or PM after time) First Name Provide your first name Last Name Provide your last name Check this Box if you want to remain anonymous Anonymous Classification --Please Select--Undergraduate StudentGraduate StudentFacultyStaffVisitor Which of the following most closely defines your affiliation to York College? Phone Number to reach you Your E-Mail Address If you are a York College Faculty, Staff or Student please use your York College email account Preferred Method of Contact Phone Email Subject of Complaint Provide name of person(s), if unknown type "unknown" and describe individual to the best of your ability Classification of Subject of Complaint No value--Please Select--Undergraduate StudentGraduate StudentFacultyStaffVisitorUnknown Which of the following most closely defines the subject affiliation to York College? Location Provide a location or locations this alleged event took place. Be as specific as possible, building, floor, room number, etc. Are you alleging an act of violence? Violent Non-Violent Please note: submitting a complaint through this portal does not substitute for filling a report with law enforcement. If you believe a crime has taken place, you may want to contact law enforcement in addition to filing this complaint. Detailed Description Summarize the events, facts or other bases for your complaint which you are alleging By Submitting I Acknowledge and confirm By submitting this complaint you affirm that the above allegation is true to the best of your knowledge, information and belief. Submit
