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Non-Academic Grievance Report Form


UT Tyler strives to provide its students with a fair and efficient process to present and resolve complaints and grievances arising out of their interactions with employees. Students may present complaints and grievances concerning their treatment by an employee or department related to their status as a student. Grievances should identify the basis of the dispute, including specific facts, and provide relevant documents or any other information pertinent to the matter. Grievances should also include the student’s desired result.

Please note that the Non-Academic Student Grievance process below should not be used to address academic grievances, discrimination or sexual harassment grievances. Please refer to the following information on how to file a grievance for discrimination/sexual harassment or an academic grievance.

Academic Grievances: If you have an academic grievance, you must follow the Academic Grievances Process.

Additional Resources: Student Affairs Policies, Manuals, and Links

The purpose of this form and the referral process is to direct the suggestion/complaint to the appropriate office or person so the best solution can be reached. Please email the Dean of Students office or call 903.565.5946 if you have any questions.

Background Information

Please provide your information so that we may follow up with you.

 
Email address must be of a valid format.
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Involved Parties

Please list all parties with whom the complaint is against and parties who may have been witness to an incident. Fill out as much information you can about the individuals.

Involved party 1

Questions

Informal Procedure: Initial Consideration of Grievance:
In an effort to resolve misunderstandings or concerns, a student must first make every effort to resolve the matter informally by discussing his or her concerns with the employee, supervisor or department against whom the complaint is initiated within 30 calendar days of the time of the incident. The person to whom the complaint is presented must respond orally or in writing within 10 business days after receipt of the complaint.

Formal Procedure: Appeal to Supervising Vice President:
If the complaint is not resolved to the student's satisfaction by the employee, supervisor, or department head, the student may submit a final formal appeal Non-Academic Student Grievance Form to the Vice President supervising the department where the complaint originated, The student must submit this appeal within 10 business days after the student receives the response from the department head. The Vice President and/or designee will provide a written response to the student within 10 business days of the receipt of the student’s appeal. Decisions at the vice presidential level will be final.

Which of the two procedures above have you done to address this grievance?(Required)
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Where did your grievance take place? (select all that apply):(Required)
You must make at least one selection.
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Have you taken any steps to address this grievance?(Required)
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Has a solution been reached?(Required)
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Supporting Documentation


Please submit any documentation you may have in relation to your grievance.
5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission