Title IX Incident Report Form

​The University has an expectation that employees and students will share information they receive about campus crime and off-campus crime that may potentially impact on the campus environment.  This form is intended to convey information needed to track the University’s response to incidents (on and off-campus) being reported, as well as to assess the danger the incident represents to the community at large. 

Annual statistical information will be based on this report, as will the need to make timely warnings to the community, for the protection of those who may be at risk.  Employees (except those serving in the roles to receive confidential information) are required to complete this form in full, while students may generally withhold certain information (i.e. name of the victim), depending upon their role and the circumstances of the incident.

 CSU-P: Title IX Incident Report Form