Report a safety concern

This form goes directly to CLEO's directors. You may report without giving your name. Retaliation for a good-faith report is prohibited.

If anyone is in immediate danger, contact local emergency services first. Do not use this form as a substitute for 911 or legally required reporting.

Related chapter, if known Type of concern What happened?

Date, if known

Location

Was anyone hurt or at immediate risk? There is an ongoing risk right now Venue/facility staff have been notified

Contact information (optional)

CLEO may need to ask follow-up questions. Choosing chapter confidentiality means directors will not identify you to chapter leadership unless disclosure is needed to protect someone or comply with law.

Name

Phone CLEO may contact me about this report Keep my identity confidential from chapter leadership