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Title IX/Sexual Misconduct Reporting Form


This report form is NOT intended for an emergency response. If you need to report an EMERGENCY or incident that poses an imminent risk of harm, please call University Police at 608-789-9999 or dial 911.

ABOUT THIS FORM
This form may be used by members of the UWL community, and visitors, to report information related to alleged violations of UWL's Sexual Violence and Sexual Harassment Policy. The University of Wisconsin-La Crosse is committed to preventing and responding to sexual misconduct to ensure a safe and equitable educational environment for all. The University prohibits all forms of sexual misconduct, including but not limited to: Sexual assault, sexual violence, domestic violence, dating violence, stalking, sexual harassment, sexual exploitation, and discrimination based on gender identity or sexual orientation.

WHO CAN USE THIS FORM?
Anyone can use this form. (Note: All university employees, including faculty and staff, must report incidents to the Title IX Coordinator if they receive notice of an incident of sexual or gender-based misconduct, unless they are a Confidential Resource).

WHAT HAPPENS WHEN I SUBMIT MY REPORT? WILL I BE CONTACTED?
Submitted reports are delivered to the Title IX Coordinator and additional recipients, for review.

  1. The Title IX Coordinator will work to identify the Complainant (recipient of behavior) if that information is not already provided in the report.
  2. If the Complainant's information is noted in the report, the Title IX Coordinator will respond to you, the Reporter, with an email to let you know the report was received by the Office of Title IX and Compliance. 
  3. The Title IX Coordinator will outreach to the Complainant to offer support, resources, and explain their rights.

WHAT SUPPORT AND RESOURCES ARE AVAILABLE?
The University supports all persons who are impacted by sexual misconduct. You may talk with the Title IX Coordinator or Violence Prevention Specialist to learn what resources are available to you.

If you have been impacted by sexual violence, please consider contacting:
Violence Prevention -- 149 Graff Main Hall / (608) 785-8062
Counseling and Testing Center -- 2106 Centennial Hall / (608) 785-8073
Student Health Center -- 1300 Badger St / (608) 785-8558

Quick links to a variety of additional resources can be found HERE:

Reporter Information

 
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Involved Parties

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Questions

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Please identify the nature of the incident you are reporting (check all that apply). For a list of definitions, please check here: Title IX and Sexual Misconduct Definitions(Required)
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Was the alleged respondent using drugs or alcohol at the time of the incident (Check all that apply)?(Required)
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Was the victim/complainant using drugs or alcohol at the time of the incident (Check all that apply)? (Note: In matters involving sexual assault or sexual violence, it is a practice at UWL that victim/complainants will not be charged with violations related to their own alcohol or other drug consumption.)(Required)
You must make at least one selection.
Was the incident reported to any of the following locations (check all that apply):(Required)
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Other Useful Documentation

If you have any documentation you think is helpful to understanding the incident and to our providing support, please attached it here. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission