Title IX Incident Report Form

This form is used to file a report regarding sexual misconduct. Sexual misconduct is a term used to describe a wide variety of unwanted behaviors related to gender ranging from harassment, stalking, relationship violence and exploitation, to sexual assault or rape.

Please fill out the form completely and honestly. The information provided in this report will be kept as private as possible, but may trigger a Title IX investigation. If you wish to remain anonymous, you may. However, please note that the ability to investigate an anonymous complaint and take steps to remedy the problem is severely limited.

Once completed, this form will be forwarded to Davis & Elkins College’s Title IX Coordinator.

If you need immediate assistance, please contact the Title IX Coordinator at 304-637-1277 or the Office of Public Safety at 304-704-9111.

If it is an emergency, please dial 911.

500 word limit