Code of Conduct Incident Report Form

Please use this form to report any Code of Conduct violation that you experienced or witnessed taking place at an Alliance meeting or event or occurring while you or others were engaged in an Alliance related activity.

The sooner that you can report an incident and the more details that you can provide, the faster that the Alliance can investigate and act upon every breach of this Code of Conduct.

Incident Date and Time(Required)

When did the incident take place? Enter specific date(s) and time(s) if known, or a range.

Type of Violation(Required)

What kind of Code of Conduct violation occurred? (E.g., a personal attack, harassment, etc.)

Incident Description(Required)

Describe what happened and the context of the incident (e.g., a public Alliance event, team or group meeting, listserv email, etc.). Please provide as much detail as you feel comfortable sharing.

Parties Involved(Required)

Who was present, involved, and/or affected? Please provide their names and roles in the incident (e.g., the person who violated the Code of Conduct, the target of the harassing behavior, a witness, etc.).

Name(Required)

Enter your name.

First Last

Email(Required)

Enter the email you prefer to use to communicate with the Code of Conduct Committee.

Alliance Affiliation(Required)

Indicate your affiliation with Orbis Cascade Alliance.

Member library staff member

Council member

Alliance central staff

Unaffiliated

Other

Institution(Required)

Select your institution.

Thank you for taking the time to fill out this form to report this violation to the Alliance. We understand that both the incident and the reporting process may be traumatic.

If after submitting this report you happen to come across any additional information or additional witnesses that may be relevant to investigating this incident, then please contact the Executive Director and/or Board Chair.

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