Submit Complaint Form

Submit Complaint Form

You should review the University’s Policy on the Dixie State University website here.

This form is designed to provide DSU students, employees, faculty, vendors, visitors, or others with an on-line method to report specific information related to an alleged incident(s) of sexual discrimination, sexual harassment (including sexual misconduct), or retaliation.

All fields are required. If unknown, simply type unknown.The University will use the information provided to begin an investigation, which may include contacting the complainant, respondent, and/or any potential witnesses. However, if the report does not contain specific information, the University’s investigation and response may be limited.

Some fields are required. If unknown, simply type unknown.

Complaint Form

Complainant Information

* If the person completing this form is the victim, you may choose to identify yourself or not. If you are a third party complainant who is not the victim, include the victim’s identifiable information only if the victim wishes. * Victims completing this form who provide personally identifiable information can expect the university to follow-up with an appropriate investigation. For information-only reports, victims should omit all personally identifiable information to ensure confidentiality.

Type and Basis of Complaint

Respondent/Accused Information

* If the person completing this form is the victim, you may choose to identify yourself or not. If you are a third party complainant who is not the victim, include the victim’s identifiable information only if the victim wishes. * Victims completing this form who provide personally identifiable information can expect the university to follow-up with an appropriate investigation. For information-only reports, victims should omit all personally identifiable information to ensure confidentiality.

Complaint

While providing details is essential to investigating your complaint, please be advised that some or all of the information you provide in this section may be shared with the person(s) you are accusing. You may supplement this description later if you wish to share additional details.

Resolution

Sending