Code of Conduct Complaint

UAA Code of Conduct Complaint Submission Form
The Urban Affairs Association expects that all members of the organization, event participants, Association staff, and contracted vendors, will conduct themselves in a manner that respects the privacy, personal space, human rights, and points of view of other participants. When you registered for the conference, you agreed to the Association’s code of conduct. We want to encourage conference attendees to report behavior that runs counter to the code of conduct. Incidents can be reported in person to the UAA staff, or by submitting this anonymous form.

A note about confidentiality: Any information that you provide will be accessible only to UAA's Executive Staff and Governing Board Officers.

SEE ALSO: UAA Code of Conduct Policy
Code of Conduct Complaint
Date of Violation*

MonthDayYear
Approximate Time of Violation*
Location of Violation*
Who was involved? (These details will only be used to aid in investigating the incident)*

0/200
Describe what occurred in general.*

0/200
Describe what occurred in detail. If for example, a specific word or statement was made, please share that statement as accurately as you recall.*

0/500
Has UAA staff been notified?*

YesNo
Have other authorities been notified?*

YesNo
OPTIONAL: Contact Information for Follow-Up
This form is anonymous. However, if you would like us to follow up with you about the incident, you may optionally provide us with your contact information.
Name (Optional)

First NameLast Name
Email (Optional)
A copy of your complaint will automatically be emailed to you if you provide your email address.
Phone Number (Optional)
Should be Empty:

UAA Code of Conduct Complaint Submission Form

Code of Conduct Complaint

OPTIONAL: Contact Information for Follow-Up