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Sexual Harassment and Other Sexual Misconduct Incident Report


Do not use this form to report an immediate threat. If you require emergency assistance, call 911.

Submission Instructions:This form may be used by any member of the Ohio University community wishing to file a report, either on your own behalf or on the behalf of another person. University Equity and Civil Rights Compliance (ECRC) will review the information in the report and take the appropriate actions, including making necessary referrals and providing options for support.

Unless you are submitting this form in your role as a mandated reporter, providing your contact information is optional.If you choose not to provide this information, the form will be submitted anonymously. While all reports will be reviewed, please note that submitting this report anonymously will significantly impede the university’s ability to address the incident and, in most cases, the university will be unable to investigate or resolve the incident through the grievance process. If you are a mandated reporter, you must include your contact information.

If you do include contact information, please be aware that a staff member from ECRC will contact you (or the survivor/victim if you are submitting on behalf of someone else) as soon as possible to discuss this matter and provide options for support.

Furthermore, please realize that students listed on this report are afforded certain rights under the Family Educational Rights and Privacy Act (FERPA) which establishes requirements regarding the privacy of student records, including the right to inspect and review this report and any supporting documentation.

By submitting this report, you are stating that all information contained in the report is correct to the best of your knowledge .

More information regarding the Sexual Harassment and Other Sexual Misconduct process may be found on the Equity and Civil Rights Compliance website.

Background Information

Please fill out as much information as possible.

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If you are a mandatory reporter, please add your position or title at Ohio University.
Email address must be of a valid format.
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If you do not know the actual date of the incident, please use the date it was reported to you.
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Regional Campuses and Centers are at the end of the list

Involved Parties

Please provide the names and roles of individuals or organizations involved in the incident. Please complete as much of the other requested information as possible. Click the button labeled Add Another to include more people.

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Questions

Please provide as much information as you can. If there are questions you cannot answer or information you are uncomfortable sharing in this format, please state that in the appropriate field.

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Was medical treatment sought related to this incident? (Required)
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Was law enforcement involved in this incident? (Required)
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Supporting Documentation

You may upload supporting documentation in .pdf format. This could include photos, text messages, emails, etc. Please convert files to .pdf format before uploading. 5GB maximum total size. Attachments require time to upload, so please be patient after submitting this form.

Submission

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