• Section 1.4.F.1 - Sexual Harassment Complaint Form


  • Please enter your full name, address and phone # and email below.
  • What is the best time of the day to reach you?
  • What was the date of the incident?
  • I wish to complain against: Name of person, school, department, program or activity.

  • What is the address where the incident occurred?

  • Specify your complaint by stating the problem as you see it. Describe the incident, the participants, the background to the incident, and any attempts you have made to solve the problem. Be sure to note relevant dates, times, and places.

  • Is there anyone that can provide more information regarding this incident? Please add below.
  • Add Another Person
  • Indicate what you think can and should be done to solve the problem. Be as specific as possible.
  • Reference: Section 1.4, Form 1.4.F.1