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Vice President for Ethics and Compliance
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  1. Resources
  2. Forms

Forms

All forms open in new windows. Hard copies and accessible copies of any forms that are PDF are available upon request.

To request the Complaint of Discrimination, Harassment and/or Retaliation form, or the Complaint of Title IX Harassment form, please contact the Office of Institutional Equity.

  • Annual Certificate of Compliance for Employee (PDF)
  • Annual Certificate of Compliance for Oversight Manager (PDF)
  • Conflict of Interest Disclosure Statement (PDF)
  • Nepotism Disclosure Statement (PDF)
  • Reportable Outside Activity Form (online form)
  • Reportable Outside Activity Form Guidelines
  • Self-Identification of Disability Status for Employees (online form)
  • Self-Identification of Race and Ethnicity for Employees (PDF)
  • Self-Identification of Veteran Status for Employees (PDF)
  • Incident Report Form (online form)
  • Student Loan Code of Conduct Certificate of Acknowledgment (PDF)
  • Student Loan Code of Conduct Certificate of Compliance (PDF)
  • Resources
  • FAQs
    • Amorous Relationships and Nepotism
    • Conflicts of Commitment and Reportable Outside Activities
    • Individual Financial Conflicts of Interest
    • Gifts, Gratuities and Recognition
    • Political Activities
    • Sports Wagering FAQs
    • Institutional Conflicts of Interest
  • Procedures for Programs Involving Minors
  • Directory of Compliance Contacts
  • General Resources
  • Title IX
  • News Archive
    • News Archive 2022
    • News Archive 2021
    • News Archive 2020
    • News Archive 2019
    • News Archive 2018
    • News Archive 2017
    • News Archive 2016
    • News Archive 2015
    • News Archive 2014
    • News Archive 2013
    • News Archive 2012
    • News Archive 2011
    • News Archive 2010
    • News Archive 2009
    • News Archive 2008
    • News Archive 2007
  • Dreamer Award
  • Religious, Ethnic & Civil Observances
    • 2022 Religious, Ethnic, and Civil Observances
    • 2023 Religious, Ethnic & Civil Observances
    • 2024 Religious, Ethnic & Civil Observances

Contact Information
Ernest C. Young Hall, 10th Floor
155 S. Grant St.
West Lafayette, IN 47907-2114
Phone: 765-494-5830
Fax: 765-496-1295
Email: vpec@purdue.edu 

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