Report Form

Warhawks Care! Report It Form

Emergency Situations - Dial 911
In the event of an emergency or if you feel your personal safety is threatened, do not use this form. Please contact the UW-Whitewater Police Services by dialing 911.

Members of the UW-Whitewater community may use this form to report concerning behavior directly to the CARE Team.  The Report It Form is securely transmitted to the CARE Team Case Manager in the Dean of Students Office. The Case Manager reviews all concerns submitted and shares them with the CARE Team members.  CARE Team members review the reports and determine an appropriate course of action for each situation using team protocols, professional knowledge and past precedent. 

The Case Manager may contact individuals who have submitted a concern to obtain more detailed information. All concerns will be investigated and action will be taken to address them in a manner that provides a high level of care for each individual and protects our campus community.  Due to FERPA privacy constraints, members of the CARE Team will not be able to share information about the team's response with individuals who report concerns.

Would you like to remain anonymous for this report? No Yes

Reporter Information

(If you wish to remain anonymous, this section does not need to be filled out.)

Your Phone Number:
Are you a: Student Employee Other (please explain)
Incident Information
Date of Incident:
Class/Location of Incident:
First Name of Person of Concern: :Last Name of Person of Concern:
Email of Person of Concern (If Known): Phone Number of Person of Concern (If Known):
Name(s) of others involved:


* If you are reporting a concern about an individual student, staff or faculty member please include their full name and contact information. Providing this information assists us in the process of following up on each concern.  If names or contact information are not provided, we may not be able to follow up on your concern.

Location

University of Wisconsin-Whitewater
800 West Main Street
Whitewater, WI 53190-1790

Contact Us

Directory Assistance: (262) 472-1234
TSC Helpdesk: (262) 472-4357
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54.83.228.89
http://www.uww.edu/