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Title IX and Sex-Based Misconduct Reporting Form


Use this form to report incidents of sexual harassment, sexual assault, dating violence, domestic violence, stalking, sexual exploitation, and related retaliation. VCU will make reasonable efforts to protect privacy while balancing the need to gather information to assess the report and to take steps to eliminate reported misconduct, prevent its recurrence and remedy its effects. While some of the fields below are not required, the university will be better able to assess and respond to complete reports.

This report will be sent directly to the university's Title IX office. Emergencies should be reported to VCU Police at (804) 828-1234.

If you would like to speak with a confidential advocate, please contact University Counseling Services at (804) 828-6200 or myoptions@vcu.edu. Faculty and staff can contact the Employee Assistance Program at (855) 223-9227. For 24-hour assistance, contact the Greater Richmond YWCA Regional Hotline at (804) 612-6126.

The university is required to provide certain crime statistics and reports of sexual violence to VCU Police and local law enforcement. Individuals have the right to participate or decline to participate in any criminal investigations.

Please contact the Title IX office at titleix@vcu.edu or (804) 828-1347 if you have any questions completing this form or would like more information on the university's grievance process and available supportive measures.

Background Information

 
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If off-campus location, please list specific location below.

Involved Parties

Please list the individuals involved (excluding yourself), including as much information as you can provide. Under VCU's civil rights policies, the "respondent" refers to the individual or organization that is reported to have engaged in the alleged misconduct and "complainant" refers to the individual who is reported to have experienced the misconduct.

Involved party 1

Incident Information

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Was law enforcement contacted?(Required)
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If you are filing this report on someone's behalf, have you notified that person that you are reporting to TItle IX? If "no," please notify that person that you have filed the report and they may receive outreach from Title IX.(Required)
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Supporting Documentation

Please attach additional documentation if needed. Photos, video, email, and other supporting documents may be attached. Maximum 12 megabytes per file. Attachments require time to upload, so please be patient after you click to submit this report. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission