Text Size Default Text SizeDefault Text Size Large Text SizeLarge Text Size Largest Text SizeLargest Text Size Print Print this Page

Complaint Report

Tell us how to get in touch with you and any witnesses to the incident(s):

* Required

Personal Information

Current Address:

Witness Information

Witness #1

Current Address:

Current Address:

Witness #3

Current Address:

Incident Details


By clicking below on the submit button I understand that this statement of complaint will be submitted to the Longwood University Public Safety and may be the basis for an investigation. Further, I affirm that the facts contained herein are complete, accurate, and true to the best of my knowledge. Further, I declare and affirm that my statement has been made by me voluntarily without persuasion, coercion, or promise of any kind.

I understand that, under the regulations of the department, the employee against whom this complaint is filed may be entitled to a hearing. By signing and filing this complaint, I hereby agree to appear before a hearing board, if one is requested by the employee, and to testify under oath concerning all matters relevant to this complaint.