General Complaint Form

Reporter Contact Information (Optional)

While reporters can submit reports anonymously, we encourage reporters to provide contact information in case more details are needed. Please note there are limitations to addressing concerns by reporting anonymously.


The University encourages you to not share personal health information via this form if it is vital that the health information stay private.

Complainant (Victim/Survivor) Contact Information (Optional)

Complainant refers to the individual(s) who is alleging a violation of University policy or who claims to have been or is perceived to have been a victim/survivor of sexual misconduct.

Respondent Contact Information (Optional)

Respondent refers to the individual(s) who is alleged to have violated a university policy. Please provide any contact and/or descriptive information to help with identification.

Other Involved Individuals and Witnesses

Please list any other involved individuals (including additional respondents, complainants, and witnesses). Please include their name, contact information, and their role (such as witness), along with any other identifying information.

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Type of misconduct, discrimination, or harassment (Please check all that apply)

Time, Location, and Description of Concern

Provide as much information as you can (month, day, year, time, semester) about when the incident occurred. If you do not have any information about when the incident occurred, please write "Unknown." If multiple occurences, please indicate all occurences.

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