Example: John Doe, Manager Campus Bookstore
This should be a general description only, you will be asked for specifics later.
We reconize that this incident may not have occurred in a particular location. However, if this incident was observed in some documentation or business transactions, please indicate this accordingly.
Examples: Tuesday, May 3, 2012
Two weeks ago
Approximately a month ago
Examples: Ignored it
Said it was not a problem
Said they would look into it
Please take your time and provide as much detail as possible, but exercise care to not provide details that may reveal your identity unless you wish to do so. It may be important to know if you are the only person aware of this situation.