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Civil Reporting

You may use this form to report a concern regarding any member of the NIH community. This includes all federal employees, contractors, trainees/fellows, volunteers, visitors, etc.

If your concern is associated with a NIH funded project at a grantee institution, use the NIH Grants and Funding reporting form.

Information About Reporting Anonymously

You may submit a concern without identifying yourself. However, reporting anonymously requires key details about the concern to be omitted, which will limit the NIH’s ability to conduct an inquiry and take corrective action as warranted. Additionally, when the Civil Specialists follow up on anonymous concerns, they cannot guarantee that the reporting party’s identify will remain confidential as it may become apparent throughout the course of the inquiry.

If you would prefer to discuss all of your options with an office that operates under principles of confidentiality, please contact the Employee Assistance Program or the NIH Ombuds Office.

Type of Concern *
Type of Non-sexual harassment (optional)
mm/dd/yyyy
Are there multiple incidents? (optional)
Multiple Incidents
mm/dd/yyyy
mm/dd/yyyy
mm/dd/yyyy
mm/dd/yyyy
Witnesses
Were There Any Witnesses? *