16%
UCI ABUSIVE CONDUCT COMPLAINT INTAKE FORM
Questions marked with a
*
are required
This form should be used to report alleged violations of the Abusive Conduct in the Workplace Policy. You can see the Abusive Conduct Policy further at:
https://policy.ucop.edu/doc/4000701/AbusiveConduct
If Respondent (see definitions below) is a non-employee student, or the Respondent is a student and the incident does not involve the student's employment, the Abusive Conduct Policy does not apply. You may report such incidents to the Center for Student
Conduct for review under the Student Code of Conduct:
https://conduct.uci.edu/
Any questions regarding this form should be directed to Workforce Relations at
acpstaff@uci.edu
.
If you are experiencing an immediate safety threat or emergency, please call 911 immediately.
DEFINITIONS
Reporter:
Any individual, including a student, who makes a report of alleged Abusive Conduct.
Complainant:
Any individual, including a student, who alleges and/or has been reported to have been subjected to Abusive Conduct.
Respondent:
An individual alleged to have engaged in Abusive Conduct in the workplace (including student-employees).
Workplace:
Any space where University business is conducted or occurs, in connection with University employment and/or in the context of a University program or activity.
Next Question
Date of Incident
If conduct has taken place on more than one date, please indicate the initial date here and include additional dates below in the Description of Conduct section.
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
Year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
Next Question
Are you reporting for yourself or another?
If you are reporting alleged Abusive Conduct on behalf of someone else, you may do so anonymously. However, UC employees reporting on behalf of a student or subordinate employee must provide their name and other information to fulfill their reporting responsibilities.
-- Select --
-- Select --
Self
Other
-- Select --
Self
Other
Next Question
Start
Powered by
QuestionPro
Loading...
close
drag_indicator
close
Yes
Cancel
Continue
Answer Question
Continue Without Answering
Keep Data
Discard
close