Report an Incident

If you or someone else needs immediate attention, contact the University Police Department at 936-294-1000 or call 911. Use this form to report sexual misconduct and/or discrimination. Reports are reviewed during business hours, Monday – Friday 8am to 5pm, by the Office of Title IX & Discrimination Resolution.

I am a*

Student

Employee

Other

What is your role in the incident?*

Mandatory Reporter

Complainant

Witness

Other

Do you wish to remain anonymous?*

Yes

Your Full Name*

Your Email*

Your Phone Number*

Your Phone Extension*

Date of Incident*

If there are multiple dates, enter the initial date and list additional dates in the Describe the Incident box below.

Location(s) of Incident*

Please be as specific as possible. If unknown, enter unknown.

Describe the Incident*

Please provide a detailed description of the alleged incident (who, what, when and where)

Primary Complainant Name

Primary Complainant Sam ID

Primary Complainant Email

The person that the action(s) were directed towards.

Primary Complainant Phone Number

Primary Respondent Name

The person who performed the actions.

Primary Respondent Email

Primary Respondent Phone Number

Primary Respondent Description

Identify Complainant(s)

Provide as much detail as possible for each person that the action(s) were directed towards. Details may include names, phone numbers, or physical characteristics.

Identify Respondent(s)

Provide as much detail as possible for each person that performed the actions. Details may include names, phone numbers, or physical characteristics.

Identify Additional Parties, if any

Provide the name, phone number (if known) and any other identifying details for any person involved.

Upload Supporting Evidence

Supporting evidence may be videos, screenshots, emails, photos, text messages or other evidence to support allegations. Files must be smaller than 8MB each with unique file names.

Upload Another File

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