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Misconduct Incident Reporting Form

  1. Information

    This section is about the individual you are reporting. Please provide as much information as possible. If you prefer, a report can be filed over the phone by calling the East Grand Rapids Parks & Recreation Department at 616-949-1750.

  2. Gender*

  3. Position(s) this individual holds or held*

  4. Misconduct Incident Information

    This section asks questions about the misconduct incident or incidents you are reporting. Please provide as much specific information as you can.

  5. Please describe in detail the misconduct incident you are reporting.

  6. Where did the misconduct incident take place?

  7. Was law enforcement called at the time of the misconduct incident?*

  8. List any and all individuals who were a witness of the misconduct incident.

  9. Victim

    This section is for information about the victim. If you are the victim and wish to remain anonymous, you may do so. In that case, enter only your age, program or sport you are participating in.

  10. Gender*

  11. If person is under 18, please provide contact information for his/her parent of guardian.

  12. If person is under 18, please provide contact information for his/her parent of guardian.

  13. Individual reporting

    Your information: you may remain anonymous if you wish. However, providing your information is extremely helpful for a swift and effective investigation. A person reporting alleged misconduct should not fear any retribution and/or consequences when filing a report he or she believes to be true.

  14. Relationship to the victim*

  15. Leave This Blank:

  16. This field is not part of the form submission.