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Title IX Report Form


Eastern Washington University takes reports of sexual harassment and assault, relationship violence, and stalking seriously. EWU is committed to providing an educational environment free from discrimination. If you have experienced any of these behaviors, you are encouraged to report using this form. Once you report, a member of our EWU Care Team or Title IX Team will reach out to you to provide support and options for next steps. Use this form to report: sexual harassment; discrimination on the basis of sex, sexual orientation, gender identity/expression; non-consensual sexual touching or intercourse; domestic violence or dating violence; stalking; or, other forms of sexual misconduct.

Background Information

 
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Type of violation
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Involved Parties

Please list the individuals involved (excluding yourself), including as many of the listed fields as you can provide.

Involved party 1

Questions

Please answer the below questions to the best of your ability. In the Details of Incident section please provide a detailed description of the event(s), including individuals involved, what happened, and when/where it occurred. Please describe in as much detail as possible the specific behaviors you observed. Indicate specific words, phrases and interaction. If a subject made threats or spoke of harming him/herself, indicate specific words/phrases used. If a student has shown signs of intoxication, indicate the specific identifiers and behavior that you observed.Include name(s) of campus personnel you contacted and the actions taken, if any.

The alleged offender is:(Required)
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The complainant is:(Required)
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Did the alleged conduct or behavior occur in the workplace/education setting?(Required)
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You may also notify law enforcement of the incident. However, you are not required to do so. If you have notified law enforcement, it is helpful for us to have that information. Have you notified law enforcement?(Required)
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By submitting this report, I certify the above information is truthful and accurate.(Required)
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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission