Hazing Reporting Form

This form is not monitored outside of normal business hours or on university holidays. If anyone is experiencing harm or is in imminent danger, please contact University Police at 333 from campus phones or (631) 632-3333 from non-campus phones. Contact local police by calling 911.
Your privacy will be maintained to the greatest extent possible to encourage members of the community to come forward without fear of reprisal. You may be contacted by investigators from the appropriate department. Our ability to investigate hazing incidents depends on the accuracy and specificity of the information you provide. You are encouraged to provide as much detail as possible so that appropriate action can be taken to address the behavior. Any reports pertaining to Title IX violations are required to be reported to the appropriate offices, including reporter information.
You have the option to report anonymously, but it is not encouraged. Anonymous reporting makes it difficult to complete a full investigation and subsequently bring charges against an organization due to our inability to follow up, confirm, or verify the information presented.

Do you wish to share your contact information confidentially or remain anonymous?

I would like to provide my contact information should the University need to follow up.
Please note that your privacy will be maintained to the greatest extent possible.
I would like to remain anonymous.
Note that anonymous reports are not encouraged as they limit our ability to follow up, confirm or verify the information presented.

Your Contact Information
All fields are requested, but you may choose to write 'Anonymous' for any particular element you wish to leave anonymous.

Full Name:

Phone# (US-based 10-digits)

Email Address:

SBU ID# (9-digits)

Please Note:

When you submit this report, you will be issued a unique report confirmation code.

Please save this code and keep it in a safe place, as you can use it later to refer to this submission.

As an additional option, you can use the confirmation code at the end of this submission along with a password of your choice below to visit the Hazing Prevention website after ten (10) business days to review any updates about this incident.

(Optional) If you'd like to access your submission later, please enter an alphanumeric password (only letters and numbers) -- Example: sdg56fg56fds1561.
Note that you can leave the passwords empty and skip to the next screen if you do not need to log back in for further updates.

Please re-enter your password below.