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Title IX, Sexual and Gender-Based Misconduct and Other Types of Discrimination Report Form


Please note that submissions using this form may not be reviewed outside of normal business hours. If you believe you or anyone else is in immediate risk to health or safety, call 911 or the HCC Police Department at 713.718.8888.

This form is used to report incident(s) of sexual harassment, sexual assault, sexual misconduct, interpersonal violence (including dating and domestic violence), stalking, sex discrimination (including discrimination on the basis of gender identity, gender expression, and sexual orientation), as well as discrimination based on race, color, age (40 years or older), religion, national origin, disability, Veteran status or retaliation for reporting a concern, filing a complaint, or cooperating in an investigation of a complaint.

Furthermore, Senate Bill 212 (SB 212), a Texas State Law that passed during the 2019 legislative session and became effective on January 1, 2020, requires all employees (both faculty and staff) at a public or private post-secondary institution to promptly report any knowledge of any incidents of sexual assault, sexual harassment, dating violence, or stalking "committed by or against a person who was a student enrolled at or an employee of the institution at the time of the incident". Any employee who becomes aware of such behaviors should utilize this form to notify the Title IX Coordinator. For more information click here. Senate Bill 212

Individuals should submit this form to report a concern about themselves, or when they become aware, directly or indirectly, of an incident in which the victim or the offender is an HCC student, faculty, staff, contract employee, or visitor. Information provided may be from personal observation, a verbal or written report from a victim, or a verbal or written report through a third party who either observed or became aware of the incident.

Even if you are unsure if a specific behavior constitutes a violation, or that the alleged offender is an HCC student, faculty, or staff, you are encouraged to complete the form and provide all known information anyway.

It is unlawful to retaliate against a student, employee or any other person affiliated with the College for reporting a concern, filing a complaint, or cooperating in an investigation of a complaint.

A report can be made anonymously, without sharing your name.  You may pick this option if you'd like to make the College District aware of incidents or general trends but you may not be seeking any further action. Depending on the information provided, the College District’s ability to respond to the report may be limited

For more information:Click here

 

 

 

Reporter Information

Once the form is submitted, it will be sent to the Office of Equal Opportunity and Title IX for review and appropriate response.

The information you provide will be kept confidential to the extent permitted by law.

If you have any questions, please contact, the Office of Equal Opportunity and Title IX at hcc.oeotix@hccs.edu or by phone at 713-718-8271.

Please be aware that this form does not constitute filing an official police report.

To file an official police report or to report a crime, contact the HCC Police Department (HCC PD) or your local law enforcement agency, depending on where the incident took place.
For on-campus crimes contact HCC PD at 713.718.8888.
For off-campus crimes contact your local police department, or

IF THIS IS AN EMERGENCY, PLEASE CALL 911.

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If reporting anonymously, put Anonymous here.
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Student; Employee; Contractor; Intern/Work Study; Community Member; Applicant; Visitor
Email address must be of a valid format.
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If Off campus provide your home address If On campus provide your home campus information
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i.e. Building; Room; Parking lot

Involved Individuals

Please provide the following information about yourself, the individual(s) whom you are filing this complaint against, and anyone who may have knowledge of your concerns. If you are an employee making a mandatory report regarding another employee or student, please provide as much information known about the individuals involved. You may leave fields blank if you do not have all of the information

Involved party 1

Basis and Description of Concerns

Please answer the following

Type of Allegation (check all that apply):(Required)
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Please select one of the following:(Required)
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I attest the information provided is true and correct to the best of my ability and understand that any false statements/allegations may be subject to disciplinary actions including but not limited to suspension, up to expulsion or termination.(Required)
You must make at least one selection.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 1 GB maximum total size. Attachments require time to upload, so please be patient after submitting this form. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission