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Please use this form to file reports of discrimination, harassment, sexual harassment, sexual and domestic misconduct (which includes sexual assault and dating violence), stalking, and retaliation. If unsure whether an incident is prohibited or covered by Title IX, you are encouraged to fill out this form.

This form may be filled out by the person experiencing harm, a responsible employee, or any other person who witnesses or has knowledge of the prohibited conduct. If you are filling out this form regarding conduct that happened to someone else, please understand that we may not follow up with you unless you are directly involved in this case. Still, we will always follow up with the people directly affected by the behavior described in this form.

If you wish to speak to someone confidentially, please get in touch with AB’s Counseling Service (https://ab.edu/counseling-services/) or the Chaplain’s Office.

Please fill out the form completely and honestly. The information in this report will be provided to the Title IX Coordinator and kept as private as possible; however, it may trigger a Title IX investigation.

Unless you are a Responsible Employee or an Official with authority, you may fill out this form anonymously. However, please understand the University’s ability to respond to, investigate, or remedy anonymous reports is limited.

If you are a victim/survivor of sexual assault, sexual violence, relationship violence, or stalking and do not feel safe, please call 911 or contact the Office of Campus Safety & Security at 304-709-2696.

You may also reach out to the Centers Against Violence (https://www.centersagainstviolence.org/), RAINN (https://www.rainn.org/), or the National Domestic Violence Hotline ( https://www.thehotline.org/) for 24 hours a day/7 days a week anonymous support.

If you have questions regarding this form or need support completing it, please contact the Title IX Coordinator at 304-621-1316.

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