Bias Incident Report Form

If your or someone else’s immediate safety is at risk, please dial 911, or call the Office of Public Safety at:

  • On-campus: 6911
  • Off-campus: 812-488-6911

The University of Evansville is committed to making sure all students and employees have a space they are able to report incidents of bias or hate. This form can be filled out when someone is either a target of or witness to a bias-related incident. Individuals are encouraged to report this incident by completing the Bias Incident Report Form available below, or contacting the University of Evansville Center for Diversity, Equity, and Inclusion office at 812-488-5261, or by email at

The Center for Diversity, Equity, and Inclusion will address reported incidents based on the information provided. Therefore, please provide as much detail as possible about the incident.

Reports may be submitted anonymously. However, this may limit the Center for Diversity, Equity, and Inclusion’s ability to address the situation. If you share your name or contact information, privacy will be the top priority. However, some information may have to be shared with appropriate campus officials if there is a safety or criminal concern.

What is the bias incident related to? (Select all that apply.)

Upload Additional Materials

The file size cannot exceed 5MB.
We accept the following file types: Microsoft Word, Rich Text Format, PowerPoint, Notepad or Plain Text, Compressed or Zipped
Allowed file extensions include: .doc, .docx, .pdf, .rtf, .ppt, .pptx, .txt, .zip
Any other file types, including images, should be uploaded in a compressed (.zip) file.