Organizational Notification of Harassment Form _ NSF - National Science Foundation

Organizational Notification of Harassment Form | NSF - National Scienc...

https://www.test.nsf.gov/od/odi/notification_form.jsp

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 Title: *

(AOR): *
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: *

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Organizational Notification of Harassment Form | NSF - National Scienc...

Submit

https://www.test.nsf.gov/od/odi/notification_form.jsp

Clear

National Science Foundation, 2415 Eisenhower Avenue, Alexandria, Virginia 22314, USA Tel: (703) 292-5111, FIRS: (800)
877-8339 | TDD: (800) 281-8749

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