SAFS Anonymous Feedback & Reporting Tool
This form is provided for members of the SAFS community to report on their experience in SAFS. All reports are anonymous – no identifying information will be collected unless a reporter chooses to include their name and email address (100% optional).

For emergencies dial 911 immediately

To report criminal activity to UW Police:
Non-Emergency: 206.685.UWPD (8973)
Anonymous Tips: 206.685.TIPS (8477)

Additional non-emergency reporting options and resources are included at the bottom of this form.
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Form Purpose
The purpose of this form is to:
• Provide a confidential space to report individual experiences within SAFS
• Provide additional reporting and support resources
• Collect information on experiences in order to identify patterns or trends
• Identify ways to proactively improve the climate in the SAFS community

This purpose of this form is NOT to:
• Make a formal complaint with expectations of investigative action – submission of this form will NOT result in an investigation; a list of reporting resources has been included at the end of this form, should a reporter decide to make a formal complaint. Reporters are also invited to include their contact info in the form and ask for a follow-up from a form administrator, where further options can be discussed.
• Report a crime – if a crime is reported via this form, we will be obligated to contact emergency authorities.

Who has access to the form submissions:
Submissions are reviewed by form administrators, including:
• SAFS Associate Director
• SAFS Director of Student Services
• SAFS DEI Specialist

What happens when a form is submitted:
• Forms are reviewed by one of the administrators of the form who will assess any next steps
• Administrators will contact any reporter who includes contact info and indicates that they would like a response
• Information will be saved in the reporting tool database

NOTE: Information submitted via this form may be subject to public records requests.
All questions are optional!
Date, time, location of incident
Reporter Info
Who are you reporting for? Select all that apply.
Target or affected party of incident
Check all that apply
Initiator of incident
Check all that apply
Type of activity
Check all that apply
Description of incident
Describe the concern, incident, activity, etc. and parties involved. Please be as specific as possible and use concise, objective language (avoiding inferences).
Description of impact
What impact has this incident had on your ability to safely perform your duties in SAFS?
Clear selection
Consent to Contact for Follow-Up
By answering this question, you are not committing to any course of action. This is just an option to follow up with the administrators of this form if you choose to do so. If you answer "yes", administrators will reach out to you - you have the option to decline the invitation if you change your mind.
Clear selection
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