George Mason University
George Mason University Mason
George Mason University

Sexual and Gender-Based Misconduct Report Form

This form will provide the Title IX Coordinator with basic information regarding alleged incidents of sexual or interpersonal misconduct. An asterisk (*) indicates a required field. Please fill out all requested information and click 'submit'.

If this is an emergency, dial 9-1-1 (GMU PD operates 24/7 on all three Virginia campuses).
NOTE: Non-identifying information will be shared with GMU PD if an immediate or ongoing threat to campus is reported.

To provide information regarding alleged incidents of protected class discrimination or ethics violations, please click here to fill out our Intake Form.

Reporter Information

Background Information

Please provide us with as much information as possible.

  • The person who experienced the misconduct is the COMPLAINANT.
  • The person who is accused of misconduct is the RESPONDENT.
An individual who is alleged to be the victim of Prohibited Conduct (this may be the same person as the reporter).
An individual who has been reported to be the perpetrator of conduct that could constitute Prohibited Conduct.


Please be as detailed as possible.
This includes on- or off-campus law enforcement, Office of Student Conduct, University Life, faculty member(s), etc. If no, please write "N/A".
Is there any other information that you believe the Title IX Coordinator should be aware of regarding this report? If no, please write "N/A".