In addition to regular reporting procedures within a program or department, as well as mandatory reporting procedures, incidents involving minors should also be reported to the Youth Protection Oversight Committee. For details on what incidents to report visit Incident Reporting.

Please use the form below to report incidents involving minors to the Youth Protection Oversight Committee. If you have questions regarding this form please contact the committee at youthprotection@wustl.edu.

VERY IMPORTANT: Program administrators should follow the established department guidelines for reporting the incident to department personnel which is separate from the process noted above. Reporting to the Youth Protection Oversight Committee does not replace the protocols in place within your program or department or end the process of reporting the incident.

A list of key definitions for using this form is available here.


Youth Protection Incident Report

Information for Person Involved in the Incident

Address
City
State/Province
Zip/Postal
Country

Information Regarding Incident

:

Information for Individual Filing Report

If not the individual filing this report.
If not the individual filing this report.
If not the individual filing this report.

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