Sexual Misconduct Title IX Complaint Form

Employees, full and part-time, are required to report all incidents of Sexual Misconduct.
Please provide as much detailed information about an incident you are reporting. All information will be kept confidential to protect victims, bystanders, and the individuals submitting the report. It is essential that names and contact information be provided to allow Title IX Coordinators and security to investigate and provide victim’s assistance in a timely manner.

Sexual Misconduct Title IX Complaint Form printable version.

Sexual Misconduct Title IX Complaint Form

  • Information Regarding the Complainant

  • Information Regarding the Alleged Victim (if he or she is not the Complainant)

  • Information Regarding the Respondent

  • Information Regarding the Alleged Misconduct (sexual harassment, sexual violence, domestic violence, dating violence, or stalking)

  • You may wish to consider including, among other things, some or all the following information in your description: the gender of the parties, the relationship between the parties, whether one or more of the parties were under the influence of alcohol or drugs at the time of the alleged Misconduct, whether the Respondent used pressure or force (physical or otherwise) in the course of the alleged Misconduct, and the frequency (if applicable) of the alleged Misconduct.

Verification