Tobacco-Free Campus Non-Compliance Violation - Individual

This form allows a report to be made regarding a specific person. In order to address the complaint, the reporter must provide their contact information, along with the violator's name.

Your Name *
Your Phone Number Your Phone Number * - ### - ### ####
Your Email *
When did you see the tobacco violation? When did you see the tobacco violation? / MM / DD YYYY
Name(s) of violator(s). *
Please describe where the violation took place on campus.
What was the violation?
How many people were in violation?
What was the classification of the person/people in violation?
Were those in violation reminded of EIU's policy? If so, what was the outcome?