SLE: Buffalo State University Report Hazing Form


Hazing Report Form

Derived from the SUNY Student Conduct Institute Stop Campus Hazing Act: Hazing is defined as, “Any intentional, knowing, or reckless act committed by a person (whether individually or in concert with other persons) against another person of persons regardless of the willingness of such other person or persons to participate. More information can be found here: https://sle.buffalostate.edu/hazing 

If this matter is an emergency or time-sensitive, please call 911 or the University Police (716-878-6333) immediately. This form is not intended for use in emergency situations.

A properly submitted report will result in an investigation. The information submitted in this form will be treated as confidential to the extent permitted by law. Our ability to investigate hazing incidents depends on the accuracy and specificity of the information you provide.

You may submit a report anonymously below by indicating "anonymous" in the name section. Please understand that this may limit the extent to which the University is able to address the issue.

Thank you for taking the time to fill out this form.

Please fill out all required fields.

REPORTER TYPE
INCIDENT INFORMATION

Alcohol Usage / Presence
Was alcohol used, present or a factor in this incident?

required

Drug Usage / Presence
Were drugs used, present or a factor in this incident?

required
Was medical treatment sought?
required

Were the police called/notified?
If you are unsure, select "no".

required

Did this incident involve any form of sexual misconduct?

(i.e. activities involving total or partial nudity, sexual simulations, compelled sexual activity, sexual assault, etc.)

If yes or unsure please make sure you include the details in the "what occurred" section below.

required
Please upload any documents, pictures, videos, text messages, emails, etc. regarding the incident(s).
Please upload any documents, pictures, videos, text messages, emails, etc. regarding the incident(s).
Please upload any documents, pictures, videos, text messages, emails, etc. regarding the incident(s).
REPORTER'S INFORMATION