University of Florida: Office of the Ombudsman

Do you have a question, concern or comment for the Ombudsman? If so, please fill out this form, and we will respond as soon as possible.

Basic information

Today's date:

Your name:

UFID:

College/Major:

Local address:

Permanent address:

Your contact e-mail:

Local phone:

Other phone:

Petitions

Have you filed a University Senate Petition with the Registrar's Office?
Yes
No

If yes, when?

Have you filed any other petitions?
Yes
No

If yes, where?

If yes, when?

What was the outcome of the petition?
Approved
Denied
Other

Concerns

Have you discussed your concerns with your instructor, dean, or other administrator?
Yes
No

If yes, please describe

Please briefly and clearly describe the nature of your concerns