NCPERS Event Complaint Form

NCPERS Event Complaint Form

Use this form to submit complaints about NCPERS event code of conduct violations.
Reporter Details
Name
Organization
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Consent to Be Contacted
Incident Details
Type of Concern
Date and Approximate Time of Incident

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Description of What Happened - please include information on individuals involved and any witnesses
Attachments and Acknowledgement
Supporting Files (if applicable)

Cancelof
Acknowledgement
Non-Retaliation Reminder

NCPERS will not tolerate retaliation against any individual who, in good faith, reports a concern, participates in an investigation, or assists in resolving a potential violation of this Code of Conduct.

Any act of retaliation will be treated as a separate violation of this Code of Conduct and may result in removal from the event and additional action deemed appropriate by NCPERS.
Should be Empty: