You are entitled to a healthy workplace. Fill out and submit the form if you have complaints. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Type of Incident *Indoor Air Quality/DustConstruction/RenovationLeaks/MoldRodentsHeating/Air Conditioning/TemperatureRepairs Needed: Ceiling, Floors, WallsHygiene/DirtSafetyOtherIf you chose other, please specifyPerson/ Groups Reporting *Campus or Worksite *Choose OneASRCBaruch CollegeBorough of Manhattan Community CollegeBronx Community CollegeBronx Educational (BXEOC)Brooklyn CollegeBrooklyn Educational (BEOC)City CollegeCollege of Staten IslandCUNY Central Office – 41st StreetCUNY Central Office – 42nd StreetCUNY Central Office – 57th StreetCUNY Central Office – Court StreetCUNY Central Office – Hudson StreetCUNY Graduate CenterCUNY School of JournalismCUNY Schools of Labor & Urban StudiesCUNY School of LawCUNY School of MedicineCUNY School of Professional StudiesCUNY School of Public HealthGuttman Community CollegeHostos Community CollegeHunter Campus SchoolsHunter CollegeHunter-Bellevue School of NursingJohn Jay College of Criminal JusticeKingsborough Community CollegeLaGuardia Community CollegeLehman CollegeMacaulay Honors CollegeManhattan Educational (MEOC)Medgar Evers CollegeNew York City College of TechnologyQueens CollegeQueens Educational (QEOC)Queensborough Community CollegeResearch Foundation Central OfficeSilberman School of Social WorkYork CollegeOtherDate Reporting Problem *Cell or Personal Phone(s) *Provide the phone or phones for contacting complainantsPersonal Email *Dates of Occurrence *Provide the date or dates of the incidentLocation *The building, floor, room etc. where incident occurredDescription of the Problem *How many people were affected? *Health Problems *Were administrative personnel informed? *YesNoWhich administrators and when (or mark "N/A" if no) *How were administrators informed (or mark "N/A" if no) *e.g. phone, email, memoSubmit Share Share on Facebook Tweet on Twitter Share via Email Print Published: December 16, 2010 | Last Modified: June 12, 2011
