Reporting Alleged Fraud, Abuse or Misconduct Form CSI is committed to the highest possible standards of conduct. In line with this commitment, CSI encourages individuals to raise good faith concerns about misconduct and allows them to anonymously report, among other things, suspected violations of a policy, law, rule or regulation, acts of fraud, health/safety violations and/or corruption. Public Safety will check for electronic reports daily and, along with other campus administrators, will review submissions to determine the appropriate course of action. If you have something to report and would like to remain anonymous, simply leave the “Contact Information” section at the bottom of the page blank. You do not need to indicate your name, however, you may want to provide your name and contact information in the event additional questions arise. Should you opt to report anonymously, please be aware that it may not be possible to inform you of the process or outcome of any investigation or other action taken based on your submission. Please include as much detail as possible regarding your specific concerns along with any relevant information you can provide. All information will be treated as confidential to the extent permitted by governing policies and the law. You should also know that retaliation against anyone who has made a report in good faith using this process is strictly prohibited. Additionally, intentional use of this process to make false allegations may result in disciplinary action. The Reporting of Alleged Misconduct through the use of this form is not designed to replace the need to contact Public Safety immediately with information about an emergency, crime in progress or potentially harmful situation. In those instances, contact Public Safety directly at (718) 982-2111. Enter the type of crime or incident * - Select -Child abuse or misconduct involving minorsComputer fraud or data securityConflict of interest or ethicsDiscrimination and harassment, including age, disability, sex and raceDrugs/alcoholEnvironmental, health and safety violationsFraud, theft, embezzlement or misuse of CSI resourcesResearch or academic misconduct by faculty or staffRetaliation for reporting misconductSexual assault, assault and hazingStrange/alarming behaviorThreats/Threats of violenceVandalism to auto/buildingWeaponsOther (specify in narrative below) Must select type of crime or incident Please specify in narrative type of crime if you selected "Other" above Enter the location the crime or incident occurred/continuing to occur - None -Academic Building1S2S3S4S5S6S1N2N3N4N5NAdministrative Building1A2A3ALibrary 1LPerforming Arts Center 1PSports and Recreation 1RStudent Center 1CCampus Services 1MSt. GeorgeOnline or Social MediaOther Additional location details (i.e., the floor, room number, specific online media, etc.): Enter the approximate date and time the crime or incident occurred: Description of incident (please be as detailed as possible) Subject's Name (if known) Give a complete description of the alleged offender Description of vehicle (if applicable): (color, make, model, direction of travel) Additional Comments Contact Information (optional) Email Address Name Phone Number Address Leave this field blank
