Title IX Office: On-Line Complaint Form

Background Information

If you wish to identify yourself, please fill in the information listed below.

If the person completing this form is the complainant, you may choose to identify yourself or not. If you are a third party who is not the complainant, you may include the complainant's name. If you are reporting ANONYMOUSLY you may type anonymous in the name field.

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Your full name:

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Or, you may write Anonymous

Your phone number:

Your email address:

Email address must be of a valid format.

Your physical address:

Type of Complaint(Required):

This field is required.

Date of incident(Required):

This field is required.

Time of incident:

Location of incident(Required):

This field is required.

Specific location:

Involved Parties

Please identify the person(s) against whom the complaint is made, as well as any witnesses who may have any information regarding your report. If you do not have all of the identifying information, please leave that blank.

Name

Gender

Role

ID Number

DOB (YYYY-MM-DD)

Phone number

Email address

Hall/Address

Questions

While providing details is essential to investigating your complaint, please be advised that some or all of the information you provide in this section may be shared with the person(s) you are accusing. You may supplement this description later if you wish to share additional details.

Describe the incident(s)/event(s) including date, times, locations, and any potential witnesses to the behavior.(Required) This field is required.

Have you previously made a complaint or provided information (verbal or written) about related incidents? If yes, when and to whom did you provide information? This field is required.

Please add any additional information that supports your complaint. This field is required.

How would you like this complaint resolved? If you do not know, leave blank and the Title IX Office will review options when contacted. This field is required.

Reporting Party's Information (Affiliation to Marist College):(Required) This field is required.

Accused Information: How does this individual identify?(Required) This field is required.

Accused Party's relationship: This field is required.

Have you reported this incident to another department or office (for example: Office of Safety & Security, Residential Life, Student Conduct, etc.)? This field is required.

If yes, please list department/office notified: This field is required.

Supporting Documentation

Please add any additional documents that support your complaint. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Email me a copy of this report

Background Information

Involved Parties

Questions

Supporting Documentation

Submission