Title IX Incident Reporting Form
Who should use this form?
This form should be used by any TCSPP Community Member to notify the Title IX Coordinator of a possible violation of the TCSPP Sexual Misconduct Policy which covers sexual harassment and sexual misconduct, including but not limited to sexual violence, sexual assault, stalking, dating violence and domestic violence. If your report involves a different type of incident, please use the general incident report form.
This report will result in the Title IX Coordinator initiating a preliminary investigation of the allegations and information contained in this report. If you would like to file an anonymous or confidential report, please do not include your contact information below. Alternatively, you may contact a confidential advisor who can explain your options for reporting to TCSPP. A confidential advisor can be reached by calling the YWCA at 1-888-293-2080. To obtain a confidential advisor, please call the hotline, identify yourself as a member of the TCSPP Community, and ask for a confidential advisor. Note that filing this report does not result in a report to local law enforcement. If you would like to file a police report, please contact local law enforcement.
If you have any questions, would like any additional information or would like assistance with completing this form, please contact:
Jennifer Stripe Portillo
Title IX Coordinator
Please complete the information below:
This report may be completed anonymously, by omitting information in any field. Only fields marked with a red asterisk (*) are required.