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Report of Possible Violation of Title IX (Sexual Misconduct)


IF YOU NEED TO REPORT AN EMERGENCY, DO NOT USE THIS FORM. INSTEAD CALL THE UNIVERSITY POLICE DEPARTMENT AT 605-658-6199 OR DIAL 911.

This form should be used to report concerns pertaining to or possible violations of the University of South Dakota's Human Rights Policy such as sexual misconduct, sexual harassment or sexual intimidation.

Click here to link to USD's Title IX Sexual Misconduct Policy.
Click here to link to a list of definitions related to sexual misconduct.

The University of South Dakota respects the sensitivity of the information that may be included in this form and you may submit it anonymously. However, please note that as mandated by Title IX as a federal law, the information included in this form is not confidential, but will be kept as private as possible in all efforts to protect individuals and the greater USD community.

If you or someone you know would like to speak to a confidential USD staff member for support or information related to issues of sexual violence, relationship violence, or stalking, please contact the the Student Counseling Center by calling 605-658-3580, or emailing scc@usd.edu, or visiting the SCC website. For a longer list of available resources in Vermillion, click here for the ICARE website.

If you wish to report a crime anonymously please utilize the University Police's Silent Witness form.

A red asterisk indicates required information.

Reporter Information

Please provide us with as much information about you as possible. We may use this information to contact you to ask further questions, if necessary. You may, however, report this matter anonymously.

 
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Individuals Involved

List all relevant persons with the following roles:

  • Complainant(s): The individual(s) that experienced the alleged discrimination. If the person completing this report is the aggrieved, please list your information again below.
  • Respondent(s): The individual(s) that engaged in the alleged discrimination.
  • Witness(es): Individuals who have knowledge of relevant event(s) and/or incident(s).
  • 3rd Party Reporter: Choose this option if you are a mandatory reporter or submitting on behalf of someone else.

Please provide as much detail as possible.

Involved party 1

Incident Overview

Nature of this report (check all that apply):(Required)
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May we follow-up with you if we have questions or need additional information? If so, please select a method below and be sure to fill in your contact information above.(Required)
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I am filing a formal complaint under the South Dakota Board of Regents Human Rights Complaint Procedures 1:18. A copy of the procedure has been given to me and the process has been explained. I understand this form must be received and signed by the Title IX Coordinator in order to begin action on this report. I also understand reasonable effort shall be made to maintain confidentiality, but that in the course of the investigation, it may become necessary to disclose my identity, directly or indirectly.(Required)
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Supporting Documentation

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