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Bias Incident Report Form

The university defines bias incidents as follows:

Bias Incidents: A bias incident is an act of discrimination, harassment, intimidation, violence or criminal offense committed against any person, group or property that appears to be intentional and motivated by prejudice or bias. Such are usually associated with negative feelings and beliefs with respect to others race, ethnicity, national origin, religion, gender, gender identity, sexual orientation, age social class, political affiliation, disability, veteran status, club affiliation or organizational membership.

However, it is important for you to know that some bias-motivated, prejudice or otherwise disrespectful acts may be constitutionally protected speech and thus not subject to University disciplinary action or formal investigation.

The reporting process (also described in the Freedom of Expression Policy) helps Mason to record and evaluate these occurrences for climate assessment and planning purposes. The Center for Culture, Equity and Empowerment (CCEE) or Campus Climate Committee does not have independent authority to adjudicate incidents falling under this definition.

Please recognize that completing this bias incident report form does not constitute filing a formal complaint.

To file a formal complaint, contact University’s Office of Compliance, Diversity, and Ethics ( the University Police (, as appropriate. In some cases, however, the university may use information from an incident report to establish a formal charge.

Bias Incident Team Coordinator – (confidential)

Updated on Monday, February 27th, 2017