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Discrimination, Harassment, Title IX, and Retaliation Report Form


This Incident Report is NOT 911 or Emergency Service. Do not use this site to report events presenting an immediate threat to life or property. If you require emergency assistance, please call 911.

Please note that this is NOT the Bias Incident Reporting Form. That form can be accessed at reportbias.wfu.edu.

This form provides preliminary information to the Wake Forest University Office of Institutional Equity. The Office of Institutional Equity handles allegations of prohibited conduct outlined in the following policies:

Please complete this form to the best of your knowledge. Upon receipt of this form, someone from the University may contact you to seek additional information.

Regardless of the nature of your report, Wake Forest University will ensure that your information is forwarded to the office with responsibility for investigating and addressing complaints, reports, or concerns as appropriate, based on the information you have provided.

If you have questions, please contact our office at oie@wfu.edu.

Reporter Information

If you wish to submit an anonymous complaint, do NOT use this form. Anonymous complaints should be submitted via the Silent Witness Form or the Anonymous Reporting Hotline.

Reporting an incident without disclosing your name (i.e., anonymously) will prevent the University from being able to provide you with supportive measures (such as academic accommodations, no-contact orders, safe housing options, change of work schedule) because University staff will not be able to contact you. Reporting anonymously may also impact the University’s ability to investigate and/or take disciplinary action.

 
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Name of person completing this report
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Student, Faculty, Staff, Alumni, Parent, Visitor, etc.
Email address must be of a valid format.
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If multiple dates, use the most recent and provide other dates in narrative. Use today if unknown.
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Please provide the specific location details such as a room number or address.

Involved Parties

Please indicate all involved parties including the individual(s) you believe discriminated against you, harassed you, or retaliated against you, and any witnesses. If you do not have all of the information, you may leave fields blank.

  • Claimant: The individual to whom the misconduct was directed
  • Respondent: The individual who may have violated University policy
  • Witness: The individual who observed the alleged behavior and can provide additional information
Involved party 1

Incident Specific Information

Please complete the information below to the best of your ability.

The Respondent (accused) is:(Required)
This field is required.
Are you reporting this incident for yourself or for another person?(Required)
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What is the nature of this report? (Please select all that apply.)(Required)
You must make at least one selection.
Do you feel this behavior happened because of: (Please select all that apply.)(Required)
You must make at least one selection.
This field is required.
This field is required.
By completing and submitting this form, I agree that I was provided access to Wake Forest University’s policies that are linked in the introduction of this form.(Required)
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Supporting Documentation

Email documents to oie@wfu.edu if the files exceed the maximum limit. Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission