Title IX Sexual Misconduct, Bias, Discrimination and Harassment Reporting Form

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TITLE IX SEXUAL MISCONDUCT, BIAS, HARASSMENT AND DISCRIMINATION REPORT FORM

IMPORTANT - IF YOU ARE IN DANGER CALL 911 OR CONTACT CAMPUS SECURITY AT 215-717-6666 AND A PUBLIC SAFETY OFFICER WILL ASSIST YOU.

This for is for reporting student on student incidents of Title IX Sexual Misconduct, Bias, Harassment, and Discrimination. If you are reporting an incident involving faculty, staff, a vendor or other third-party, please go to https://uarts.ethicspoint.com to make a report that involves someone other than a student.

I am reporting

Select type of incident

Reporter's Name

If you wish to report anonymously, please to go www.uarts.ethicspoint.com to file an anonymous report.

Reporter's Phone

Reporter's Email

Date/Time of Incident

Incident Description

Please be as detailed as possible

Location of Incident

Complainant(s)

Person(s) who may have been harmed by the incident or conduct.

Respondent(s)

Person(s) who may have caused the incident or caused harm to another.

Other Witness(es)

Did any others see/hear what happened?

Attach documents/Upload

Screen shots, PDFs, Photos, etc. Any document can be attached.