This form allows you to report individuals who are violating the policy or locations where the policy is being violated. These reports may be made anonymously. Who violated the smoking policy? Please indicate whether it was a student, employee or unknown, or if you know a specific name. Where did the violation occur and what was the violation? When did the violation occur? Please include date and time of day. How many days or times has this violation occurred? Was more than one person in violation of the policy? If so, how many? Were those in violation asked to stop smoking? If so, what was the response? Submit
