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Sex & Gender Discrimination and Sexual Misconduct Incident Report Form


This form is not for emergencies. If you are experiencing an immediate risk of health or safety, call USF Public Safety at (415) 422-2911, or San Francisco Police at 9-1-1



This form is for reporting incidents that fall under USF's Policy on Nondiscrimination Based on Sex and Gender, Sexual Harassment, and Sexual Violence, including sexual assault, dating and domestic violence, and stalking. Submissions using this form may not be reviewed outside of normal business hours.

Reports filed through this form are immediately received through the system and reviewed during same-day business hours, or the next business day, by the following offices: Title IX Office (for all incidents), Vice President of Student Life, Dean of Students, and Human Resources (for employee-related incidents).

Prior to completing this form, please review the University's Policy by clicking here

You are not required to complete the entire form in order to report information. The institution will use the information provided to begin an inquiry into what is reported. You may or may not be contacted depending on the content provided. For anonymous reports, or if the report does not contain specific information, the institution's response may be limited.

For questions about this form, or assistance filling out this form, please contact the Title IX Office at titleix@usfca.edu

Reporter Information

 
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People Involved in the Situation

Please list the individuals involved including as many of the listed fields as you can provide.

Involved party 1

Description of Incident or Concern

Please be advised that information you provide in this section may need to be shared with the person(s) you are accusing to respond to and investigate this report. You may choose not to share some specific details at this time. If you provide your contact information, there will be an opportunity to provide further details and information at a later time, or you can file a secondary report when you wish to provide more details about the incident.

Required Reporters: you are required to share all known information/details at the time of reporting, including names.

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I understand if names, or specific details, are not included in this report the University may be limited in the response it can provide. I understand at any time I can submit another report to provide further information, or can contact the Title IX Office to share further information.(Required)
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I believe this situation has to do with the following behavior(s) (check all that may apply):
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Supporting Documentation

If you have additional information you would like to include with this report, such as pictures or other documents, please upload them here. 1GB maximum total size. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission