Western University of Health Sciences is committed to protecting its employees, students, and volunteers from any form of reprisal when reporting possible occurrences of research misconduct, noncompliance with policies and procedures, or practices that compromise human safety at any facility owned or operated by Western University (WesternU).

This assurance of protection is a cornerstone of our reporting process, ensuring your safety and confidence in bringing forward any concerns.

Any employee, student or volunteer may report concerns about research integrity at WesternU. Anyone wishing to report a concern regarding research misconduct, noncompliance, or concern for human safety in research or teaching facilities may do so anonymously by using the Report button on the Office of Research Regulatory Affairs (ORRA) website or by submitting a report through campus email to the Senior Vice President of Research and Biotechnology.

If the person filing the complaint identifies himself, protection of their identity will be maintained to the extent possible within the legal needs of the law and the investigation. Reports may be made without fear of reprisal. WesternU will not tolerate any reprisal against an individual who has come forward with concerns or allegations of wrongdoing about research integrity, noncompliance, or safety concerns. Every complaint shall be taken seriously, and an immediate inquiry into the allegation will follow the report.

Examples of reportable events include, but are not limited to, the following:

• Fabrication, falsification, plagiarism, distortion, or other serious deviation from accepted practices in proposing, conducting, and reporting research.
• Misappropriation of the work of others.
• Failure to follow requirements for protecting human or animal subjects or the public.
• Misappropriation of the University’s and sponsors’ property or resources.
• Intentional breach of law, University’s rules, or sponsors’ regulations
• Failure to follow financial disclosure disqualification regulations as required under WesternU Conflict of Interest policies.
• Conduct of research activities or protocol modifications without prior research committee approval.
• Continuing research-related activities beyond the protocol expiration date.
• Conduct of research-related activities by people not listed on a protocol for that activity.
• Continuing noncompliance.
• Date Noted:
  MM slash DD slash YYYY
• Time Noted:
  : Hours

  Minutes

  AM PM AM/PM
• Provide Narrative Description of the Concern including sequence of events and/or results of incident:
• Campus location:
  • Pomona
  • Lebanon
• If Offsite Location (provide street address, city, state):
  Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country
• Individual Associated with Concern (if available):
• Witness Names (if willing to provide):
• Date Report Completed:
  MM slash DD slash YYYY
• Name of Person Filing Report (if wish to include):
  First Last

• Provide contact information if you wish to be notified of the resolution of this incident report:

• Phone:
• Email
• CAPTCHA