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Advocacy & Accountability office is to provide you with the opportunity to address the stated charge(s) by describing what you experienced as a result of this incident. In the space below, please furnish a detailed summary of what happened from your perspective and in your own words. If appropriate, identify potential witnesses or other pertinent information that may require a followup investigation. To the best of my knowledge, everything I have recounted on this form is true.

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  • pertinent
  • Administrator
  • summary
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