File a Discrimination and Harassment Report

The University of Puget Sound values and celebrates a diverse educational community based on mutual respect, trust, and responsibility. The university believes that students, faculty members, and all other staff members should learn, teach, work, serve, and lead in an environment free from discrimination and harassment.

The university does not provide a substitute procedure for addressing any person's legal rights, or create legal rights separate from applicable laws. The university may, however, take appropriate protective and administration action to remedy a problem that could also be remedied by resort to legal action.

The university encourages any persons who believe they/others have been subject to discrimination or harassment to complete this form.

Glossary of terms (PDF)

 

Discrimination & Harassment Online Reporting Tool NEW

Discrimination & Harassment Online Reporting Tool NEW

  • SUBMISSION INFORMATION

  • Resolution Requested
    Resolution Requested

    Note: Completing this form will provide information to the Title IX and Equal Opportunity Officer who will reach out to the Complainant to discuss their options. For confidentially reasons, if you are reporting on behalf of someone else you will be contacted by the Title IX Coordinator only if additional information is needed.


  • What is your role on campus? (check all that apply)

    What is your role on campus? (check all that apply)

  • Would you like to submit this report anonymously?

    Would you like to submit this report anonymously?

    If you submit anonymously, you will not receive an email summary of your report.



  • REPORTER INFORMATION

  • Your Name Your Name

  • Your Phone Number

    Your Phone Number
    - -

  • Preferred Method of Contact

    Preferred Method of Contact


  • COMPLAINANT INFORMATION

    The "complainant" is the person who was targeted by the discrimination or harassment described in this report.


  • Name of Complainant (if known)

    Name of Complainant (if known)

  • Complainant Phone Number (if known)

    Complainant Phone Number (if known)
    - -

  • What is the complainant's role on campus? (check all that apply)

    What is the complainant's role on campus? (check all that apply)

  • Complainant's Preferred Method of Contact

    Complainant's Preferred Method of Contact


  • RESPONDENT INFORMATION

    The "respondent" is the person who allegedly caused the harm.


  • Name of Respondent (if known)

    Name of Respondent (if known)
  • Respondent Phone Number (if known) Respondent Phone Number (if known) - -
  • What is the respondent's role on campus? (check all that apply)
    What is the respondent's role on campus? (check all that apply)

  • INCIDENT INFORMATION


  • Based on which identity(s) do you believe this discrimination occurred?

    Based on which identity(s) do you believe this discrimination occurred?

    For details, see glossary (PDF).


  • When did this incident happen?

    When did this incident happen?

  • Location of incident:

    Location of incident: