Complaint Form

Use this form if you feel that you were the victim of discrimination or harassment.

CONFIDENTIALITY STATEMENT: The privacy of individuals who bring discrimination or harassment complaints, who are accused of, or who are otherwise involved in the complaint process will be respected. Information obtained in connection with the investigation of a complaint, will be handled as confidentially as possible. Absolute confidentiality is not guaranteed.

* Required Fields

Last Name: *

First Name: *

Email: *

Phone: *

Status:   Faculty    Student    Staff  

What is the best way to contact you?   Telephone    Email    Mail  

What is the best time to contact you?  

Please explain why you believe that you have been discriminated against or sexually harassed. Please describe the incident

When and where did the incident(s) occur and who was involved?

Are there any witnesses? If so, please provide as much contact information as possible

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The City University of New York

Borough of Manhattan Community College
The City University of New York
199 Chambers Street, New York, NY 10007
212-220-8000 | Directory

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