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Protected Disclosure Allegation Submission Form

Please be sure to complete all sections of the form. The Procedure for Protected Disclosure and relevant University Policies provide definitions and context to assist in completing this form. 

  • 1
    Complainant Information
  • 2
    Allegation
  • 3
    Respondent Information
  • 4
    Confirmation
The Protected Disclosure may be submitted anonymously, but this may limit the ability of the University to respond and investigate. If you wish to submit anonymously, you may leave this section blank.

Collection of personal information
Your personal information is collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection or use of this information, please visit our Access to Information page.