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Title IX/ Sexual Misconduct Reporting Form


If you need to report an emergency or are reporting an incident that poses an imminent risk of harm, call Texas Tech Police at 806-742-3931, or dial 911. Please know that completing this form does not substitute filing a report with the police.

This form should be used to report concerns pertaining to possible violations of the Texas Tech Title IX Sexual Misconduct policy and the Non-Title IX Sexual Misconduct policy, including gender based discrimination, dating violence, domestic violence, hostile environment, sexual assault, nonconsensual sexual contact, sexual exploitation, sexual harassment, stalking, retaliation, or other forms of sexual misconduct. Upon receipt of the report, TTU will review the matter and take proper steps to investigate, stop, prevent, and remedy prohibited conduct in accordance with University policies.

Texas Tech respects the sensitivity of the information that may be included in this form and will make reasonable efforts to protect the privacy of those involved, in accordance with applicable state and federal law, while balancing the need to gather information to address the incident and take steps to eliminate prohibited conduct in order to protect the greater Texas Tech community.

Texas Tech protects against retaliation of any kind against persons reporting misconduct or any person's participation in the complaint or investigation process.

If you would like to speak with someone about completing this form, please call the Title IX Case Manager, Meredith Holden, at 806-834-5556, or the Title IX Coordinator, Kimberly Simón, at 806-834-1949. Students may make a report to Title IX anonymously, however this may limit the University's ability to investigate the incident or provide resources to the involved parties. To speak with a counselor in confidence, students may contact the Student Counseling Center at 806-742-3674.

You can find more information about Texas Tech University's policies and procedures regarding sexual misconduct at www.titleix.ttu.edu.

To report concerning behavior involving an employee or employees please contact the Office of Equal Opportunity directly at 806-742-3627.

Background Information

The personally identifying information you provide below will be kept confidential.



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Involved Parties

Please identify the person(s) who are involved in the incident. Please list as many involved parties as you know and include as much information as you can as this information is tremendously helpful during investigation.

Involved party 1

About the Incident

In order for Texas Tech University to effectively investigate the incident, we need to know as much about what happened as possible.


The information you provide will be kept private and shared only with necessary and essential Title IX administrators. During the course of the investigation process, this information may be shared with the alleged perpetrator. However, this will not occur without first consulting with the victim as to their preferred approach to handling the situation.

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Was law enforcement involved with the incident?(Required)
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If law enforcement was involved, please select the agency that responded.
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Did anyone sustain an injury or experience a medical condition during the incident?(Required)
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Was anyone transported to a hospital?(Required)
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If you are a Campus Security Authority, please select relevant Clery reportable crime category/categories below. If you select any boxes in this section, please be sure to select the "CSA Report" box in the bottom "Select copy recipients" section. Information will be gathered for the purpose of fulfilling CSA obligations, and for crime counting statistics only.
You must make at least one selection.
If you are a CSA and this is a possible Clery Hate Crime, please select relevant category/categories below.
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Hate Crime Category of Prejudice, please select relevant category/categories below.
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Supporting Documentation

Please add any additional documents that support your complaint. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Select copy recipients

If you have selected and Clery Reportable Items above, please check the "CSA" box below.
If you have selected and Clery Reportable Items above, please check the "CSA" box below.

Submission