Please fill out the form below to the best of your ability. As indicated, you may select all options that apply to your situation for certain questions. You are not required to complete the entire form to submit.

If you have trouble accessing or using this form, please contact the Title IX Office at 906-227-2420.

Are you the complainant (the individual who is allegedly subjected to behavior that violates the Relationship Violence, Sexual Misconduct, and Stalking Policy) in the situation being reported?

The situation you are reporting involves (select all that apply):
(Please refer to the Glossary of Terms in the Relationship Violence, Sexual Misconduct and Stalking Policy for the terms listed below.)


(Please list the full name individual(s) that are involved in the incident you are reporting.)
(Please briefly describe where the incident occurred.)
(Please describe what occured.)