Report Bias

This Reporting Tool is for Non-Emergency Incidents Only

Every effort will be made to evaluate your report promptly, however, the timing and manner in which the University addresses the report will vary depending on the information provided and whether you wish to remain anonymous. The University cannot guarantee it will respond to all reports.

LSUA takes the reports made through this site seriously. Please remember that all information contained within this report may become part of the University's administrative record keeping and may be available to the students to which they pertain under The Family Educational Rights and Privacy Act (FERPA). FERPA is a Federal law that protects the privacy of student education records. More information about FERPA can be found at https://www.lsua.edu/academics/registrar/ferpa.

In making your report, please be professional, accurate and factual. Recitations of observations and facts are more useful than characterizations or labels.

If you are experiencing a crisis or in an emergency situation, dial 911 or contact the LSUA Police Department.

LSUA Police Contact Information:

• For non-emergencies, dial (318) 473-6427
• For emergencies, dial 911 or 9911 from a campus phone 

Background Information

Reporter's Name

Who was primarily targeted in the incident? - Select - Student(s) Faculty Staff Other

Who engaged in the behavior? - Select - Student(s) Faculty Staff Other Unknown

Who is/could be affected? - Select - Student Faculty Staff Athletic Team Fraternity or Sorority Student Organization Residence Hall International Programs/Study Abroad Multiple LSUA Communities Entire Campus Unknown or does not apply

Date of incident

MM/DD/YY If unknown, enter today's date.

Time of Incident

What is the primary concern? - Select - Flyers/Posters/Posts Bullying Harrassment Damage/Destruction to Property Discrimination Graffiti Intimidation/Threat Physical Attack Verbal Assault Written Assault

Involved Parties

Please list the name of the individuals and/or organizations involved in this incident, including as many of the listed fields as you can provide.

Involved Party 1

Name/Organization

Role - Select - Victim Witness Alleged/Accused Reported By Involved Person

Phone Number

Please include area code.

Email

List additional involved parties in the box provided. Include Name/Organization, Role, Phone Number, and Email address.

Additional Involved Parties

Questions

Where did the incident take place? - Select - Unknown Digital/Online On Campus Off Campus Both On and Off Campus

If applicable, please provide any additional information regarding the locations(s) of the incident (i.e. Building, room number)

Please provide a detailed description of the incident using specific concise, objective language. If you have a desired outcome, please include details here:

Do you feel this incident occurred based on any of the following? Select any of the following that apply:

Accommodation Request

Age

Childcare/Eldercare

Disability

Employee/Coworker Relations

Ethnicity

Ex-Offender Status

HR Policy

Gender

Gender Identity/Expression

Marital Status/Family Status

National Origin

Pregnancy/Family Responsibilities

Race

Religion/Creed

Retaliation

Sexual Harassment

Sexual Orientation

Veteran Status

What type of activity took place? Select any of the following that apply:

Damage or Destruction of Property

Discrimination

Graffiti

Harassment

Intimidation

Physical Attack

Stalking

Theft/Stolen Property

Threat/Use of Force

Verbal Attack

Vandalism

Not Applicable

We may wish to contact you to obtain additional information. Do you consent to our contacting you, if needed? Select all that apply:

You may contact me if you need additional information.

Please contact me.

Please do not contact me.

I am filing this report on behalf of myself.

I am filing this report on behalf of another individual(s) who IS aware that I am doing so.

I am filing this report on behalf of another individual(s) who IS NOT aware that I am doing so.

You may contact the other individual(s) on whose behalf I am filing this report.

I wish to remain anonymous to involved individuals.

Supporting Documentation

Photos, video, email, and other supporting documents may be emailed to diversity@lsua.edu. Please reference the application's Reporter's Name in the email with the attachments.

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