Say yes to respect

Reporting form


Please report the incident details .




Is the person you are reporting on behalf of aware of you are making a report?


What do you think was the reason for the incident?


Your info

None of these fields are mandatory



Contact info




Privacy Disclaimer


Teesside University Student Advisors will maintain the confidentiality of the information you provide on this form and information will only be used to assist in providing support. You can use the options below to identify who you give consent to your details being shared with.

Please tick as applicable:

The information I have supplied may be shared with:



Completion of this form will not instigate the University's formal complaints procedure. Should you wish to progress via this route your Advisor will support you with this.

There are some exceptions when we may need to share information without your consent if:

  • there may be a risk to you or other
  • there is a concern regarding safeguarding of children or vulnerable adults
  • the information may lead to the apprehension and prosecution of offenders
  • the information relates to safeguarding national security