George Mason University
George Mason University Mason
George Mason University

Sexual or Interpersonal 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.

THIS IS NOT A POLICE REPORT.
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.

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.
:
(This may be the same as the reporter)

Questions

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".
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