Organizational Notification of Harassment Form

Please use this web form to submit a notification of a PI's or co-PI's placement on administrative leave or a finding of harassment to the National Science Foundation's Office of Diversity and Inclusion.

Only the identification of the PI or co-PI is required. Personally identifiable information regarding any complainants or other individuals involved in the matter must not be included in the notification.

This form also should be used by subrecipients to provide any requisite notifications to NSF.

NSF Award Numbers: *

Name of Principal Investigator (PI/Co-PI) being reported: *

Awardee Information

Awardee Name: *

Awardee Address: *

Authorized Organizational Representative (AOR): *

AOR Title: *

AOR Phone: *

AOR Email: *

DUNS Number: *

Type of Notification: * Please select one of the following.

Finding/Determination that the reported individual has been found to have violated awardee policies or codes of conduct, statutes, regulations or executive orders relating to sexual harassment, other forms of harassment, or sexual assault; or Placement by the awardee of the reported individual on administrative leave or the imposition of any administrative action on the PI or any co-PI by the awardee relating to any finding/determination or an investigation of an alleged violation of awardee policies

Explanation/Description of Events: *

National Science Foundation - Where Discoveries Begin

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Organizational Notification of Harassment Form