Incident report form

Delta Upsilon is committed to nurturing a welcoming, inclusive and safe environment that fosters mutual respect for all members of our chapters and communities. If there is an instance in which this standard is not being met, we encourage others to share that information with us immediately. Please use this form if you witness witness an act of bias or discrimination, or an incident causing bodily injury or property damage, that involves a Delta Upsilon chapter or member.

This report is being prepared for submission to a Delta Upsilon General Counsel, so please be thorough. Do not withhold reporting an incident to obtain all required information. Because timeliness is of the essence, report it immediately and send a copy of the form below within 24 hours to This report can be submitted by both DU members and non-members.

If you have any questions or need immediate assistance, please contact Senior Director of Chapter Development Katherine Pezzella at (774) 287-3985. In the event of an emergency, please first contact 9-1-1. 

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