Student Complaint Form

If you believe that you, or another person, are in imminent danger of harm, DO NOT USE THIS FORM. Please contact Public Safety at 718-262-2222 or dial 911 immediately - Public Safety office is located in the Academic Core Building, Room 1M02
Knowing submission of a false complaint through this portal is misconduct and subject to discipline under the Student Conduct Code & applicable collective bargaining agreement.
Provide your first name
Provide your last name
Number to reach you
Which of the following most closely defines your affiliation to York College?
Select the main location of where the Incident occurred
Most recent event
Approximate time of recent event (please add AM or PM after time)
of person(s) or write unknown
Please describe your complaint in detail. Include names of persons, locations, and dates involved. If this complaint is against specific person(s), please list their names and titles. Also, if you selected "Other" from any of the fields please indicate here what "Other" is.
What attempts have you made to resolve this complaint up to now? Please state who you have contacted and what transpired? (Relate any actions you have already taken to address this concern. For example: spoke with professor, spoke with advisor, contacted the appropriate office, etc.)
If yes, please provide us with the name of the organization(s) and the outcome.
Has this incident been reported to Public Safety?
Has this incident been reported to law enforcement?
Any other information you want to provide?
If attachments are necessary, please include as a .jpg or .pdf
By submitting this complaint you affirm that the above allegation is true to the best of your knowledge, information and belief.