Purpose:
This form is intended to help the Ombuds understand the nature of your concern. The Ombuds will not disclose your identifiable information without your permission, except when there is an imminent risk of serious harm or when the Ombuds, in their reasonable judgment, believes disclosure is necessary to protect the best interests of a stakeholder and/or ISTSS. The Ombuds will discard this form at the conclusion of their conversation with you.
Your Contact Information (Optional if submitting anonymously)
💡 You may remain anonymous, but the Ombuds will be limited in the support they can offer.

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* 1. Your Name (Optional if submitting anonymously):

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