University of Montana Title IX/Harassment Incident Report Form

In accordance with University policy, all University employees must report information they have about alleged or possible sex-based discrimination, sexual harassment, and sexual misconduct involving students to the Office of Equal Opportunity and Affirmative Action.

Upon receiving a report, the EO will evaluate the information received and determine what further actions should be taken. The EO will follow the procedures described in the Discrimination Grievance Procedures. The EO will take steps, either directly with the complainant or through a reporting employee, to provide information about the University's Discrimination Grievance Procedures, as well as available health and advocacy resources and options for criminal reporting.

Incident Information

Please fill out this form to report instances of discriminatory harassment. If you experience difficulties submitting this form, please contact the Office of Equal Opportunity and Affirmative Action at (406) 243-5710 or eoaa@umontana.edu to report the incident.

Date of incident:

Time of incident:

On or off campus:

On campus
Off campus
On campus and off campus

Name or description of alleged victim(s), if known:

Name or description of alleged offender(s), if known:

Description of incident:

Was the incident reported to the police?

Yes
No

Why or why not?

Reporter information

Thank you for providing this information. Although you may report anonymously, we encourage you to provide your name and contact information so we can provide you with information about additional resources and processes available to you. We will follow up to the extent possible with the information you have provided and any more you choose to provide in the future. Our ability to take remedial action may be limited should you choose to report anonymously.

Your name:

Your contact information:

Please click on "Done" below to send your report to the Director of Equal Opportunity and Affirmative Action.