Submit a Resource Form for Hillel Laurier

Report an Incident on Campus

This site is not designed to report emergencies. If this is an emergency or you fear for your safety or the safety of others, please call 9-1-1.

All information submitted through this form will be reviewed by advocacy professionals who will support the reporting party in the incident response process.
Name (your name will remain anonymous/confidential to all except the Hillel professional receiving this report)*

First NameLast Name
Email*
example@example.com
Phone Number*
Campus*
If other, please specify:*
I am a...*

Undergraduate StudentGraduate StudentParentGrandparentAlumniUniversity Faculty or AdministratorCommunity MemberStaff
Where did this incident take place?*
If other, where did this incident take place?*
When did the incident take place?*
What happened? (the more detailed the better!)*
Please attach relevant screenshots related to the incident:

Cancelof
If necessary, can we share this incident with campus and local law enforcement?*

YesNo
Please verify that you are human*
By submitting this report, you acknowledge that Hillel Ontario may share the details of this report with legal counsel.

By submitting this form, you agree to our Privacy Policy and understand that your personal information may be collected for security and legal purposes.
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