Title IX Complaint Form

COMPLAINANT INFORMATION (Person Filing the Complaint)
INCIDENT INFORMATION

(i) the length of the relationship
(ii) the type of relationship
(iii) the frequency of interaction between the persons involved in the relationship.

DESCRIPTION
RETALIATION DEFINITION
Retaliation against any person who alleges a violation of the Gender-Based/Sexual Misconduct Policy or who reports or assists California University of Pennsylvania in the investigation of a complaint under this policy may results in disciplinary action up to and including termination or expulsion by California University of Pennsylvania. Retaliation against any person who is the alleged victim of sexual misconduct is prohibited as well. There will be no retaliation against those who report or assist California University of Pennsylvania in the investigation of a complaint.
REPORTER INFORMATION
RESPONDENT INFORMATION (IF KNOWN/SHARED - INDIVIDUAL COMPLAINT IS AGAINST)
Status: -