School of Medicine & Dentistry / Research Integrity / RIO Allegation Form

Report a Research Integrity Concern

If you prefer to file a concern online, please fill out and submit the form below.

Please enter your first and last name below. If you wish to report your concern anonymously, please type the word “Anonymous” in the box. Please note that if you report anonymously, you will not receive any confirmation of the receipt of your report or any follow up, and any investigation may be limited by the inability to solicit more information from you or to identify additional potential reporters.

place field "YourPosition_Title" below

Your Name place field "YourPosition" below
Your Position place field "NameOfTheSMDFacultyMemberYouHaveAProfessionalConcernAbout" below
Name of the Researcher Who You Have a Misconduct Concern About:	Name of the SMD Faculty Member You Have a Professional Concern About place field "FacultyMember_sDepartment" below
Researcher's Department:	Faculty Member's Department place field "DescribeTheProfessionalConcern" below
Describe the Research Misconduct Concern: Please refrain from including patient and/or protected health information, but include relevant date(s) and location(s).	Describe the Professional Concern: place field "HaveYouDiscussedYourConcernWithAnyoneElseAtUR" below
Have You Discussed Your Concern with Anyone Else at UR place field "If_Yes" below
If "Yes", Name of the Person place field "Best_Way_to_Reach_You_for_Follow_up" below
Best Way to Reach You for Follow-up place field "emailinput" below
Email place field "PhoneNumber" below
Phone Number