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Title IX/Discrimination & Harassment Report


This Reporting Form is NOT an Emergency Service. If you require emergency assistance, please contact TCC Campus Police at: 918-595-8888 or dial 911

Upon notice of a report of discrimination, harassment, retaliation, or sexual harassment, that includes Dating Violence, Domestic Violence, Quid Pro Quo and Stalking, the Office of Civil Rights Compliance will assess whether an investigation will be conducted under the Discrimination and Harassment policy OR the Title IX policy and work with the person filing the report to address supportive measures needed to continue as a student or employee.

For more information about the Title IX/Discrimination & Harassment policy, please visit our website.

Please answer questions as completely as possible and attach additional pages if needed to complete your request. If you do not know the answer to a question, answer by stating “not known.” If a question is not applicable, write “n/a.”

Note that submissions using this form may not be reviewed outside of normal business hours. If you request a response and wish to remain anonymous, you may create an email address without direct identifiers and provide it below.

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Reporter Information

 
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Reporting Party
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Your TCC Student ID
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Preferred phone number
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Email address
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Date of Incident (if unknown, please put today's date):
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Time of incident
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Involved Parties

Please list the names of all individuals involved. If you do not know all of the information requested, complete as much as you can. Be sure to list any witnesses to the alleged sexual harassment report.

The "Complainant" is an individual who is alleged to be the victim of conduct that could constitute sexual harassment.

The "Respondent" is an individual who has been reported to be the perpetrator of conduct that could constitute sexual harassment.

The "Reporter" is a student or community member reporting the concern who is not the complainant.

The "Mandatory Reporter" is an employee of TCC reporting the concern who is not the complainant.

A "Witness" is an individual who witnesses or learns of violence or impending violence but is not directly impacted.

Involved party 1

Reason(s) for Report

Types of sexual misconduct or discrimination & harassment experienced (check all that apply):(Required)
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Complaint Acknowledgement:(Required)
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Statements of Understanding: I understand and consent to the disclosure of information contained in this report to appropriate administrators and witnesses interviewed for the purpose of investigating this complaint. I am willing to cooperate fully in the investigation and provide whatever evidence the College deems relevant. I understand that the nature of this report, correspondence, and all discussions conducted in the course of investigation of the information contained in this report are confidential to the extent permitted by law and College policy, and unauthorized disclosures of information concerning the investigation could result in disciplinary action. By submitting this form, I certify to the best of my knowledge the information that I have provided is accurate and the events and circumstances are as I have described them.(Required)
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Supporting Documentation

Attach any supporting evidence and documentation such as emails, texts, records, protective orders, and materials that supports your allegation. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission