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Reporting Form

Reporting to ECRT allows complainants to understand the options available to them in order to make informed decisions about next steps. ECRT assesses and responds to every report it receives.

Reporting is private but not confidential. Facts are shared with other University officials only when necessary such as when a U-M employee has engaged in sexual or gender-based misconduct, a crime is alleged, community safety is impacted, addressing a reported concern, or legally required. If an employee is reported of potentially engaging in sexual or gender-based misconduct, that employee will generally be made aware of the report in order to address the concerns. ECRT takes great care to protect the privacy of all individuals involved and only shares information as necessary.

ECRT must take action to address possible discrimination, harassment, and sexual/gender-based misconduct. However the office takes into consideration what steps an impacted person would like to have taken.

If you would like to speak with someone about how to submit a report, please email Rachel Bernardo at [email protected]. This email address is monitored during normal business hours, Monday-Friday, 8:00 A.M to 5:00 P.M. If you submit an inquiry after 5:00 P.M. or on the weekend, please expect a response the following business day.

Discrimination, Discriminatory Harassment and Sexual Misconduct Reporting Form

Discrimination, Discriminatory Harassment and Sexual Misconduct Reporting Form

Reporter's Affiliation
I am reporting:
If you wish to explore your options before sharing specific details about your concern or identifying the person(s) involved, please continue to fill out this form. Once this report has been submitted an equity specialist will contact you and you will have the opportunity to share more information.
If you wish to remain anonymous, use a non-university affiliated email address at which we can contact you for followup that does not have your name or other identifying information in it. Please understand that with an anonymous submission, ECRT will follow up as possible and appropriate, but a formal resolution process/disciplinary action is likely not possible.
Report Type
Check all that apply, to your best understanding. ECRT will still receive and respond to your report even if you are uncertain.

*Retaliation as a result of engaging with ECRT or in an ECRT process

**Sexual, Romantic, Amorous, and/or Dating Relationship between Faculty/Student; Staff/Student; Supervisor/Employee

To report caste-based discrimination you may select "national origin", "religion", "race", or "other".

Please provide the date and time or dates of the incident. If unsure, please describe the time period or general description.
0 of 250 max characters
Where did the incident occur?
0 of 250 max characters
Enter the name(s) of individuals and/or departments, student groups, etc., involved in the situation. Include uniqname(s) and/or UM ID, if available. *Please do not provide sensitive data or protected health information such as patient names.
0 of 1500 max characters
Please provide a brief description of the issue of concern, or indicate that you would like to speak with an ECRT Equity Specialist before sharing more details.
0 of 1500 max characters

Additional Documentation

If you have additional documentation such as screenshots, images, emails, documents, etc. please hold on to them. ECRT will work with you to gather them.