Submit a Title IX Report

Welcome to William & Mary's Title IX Report form. You may use this report to submit concerns regarding sexual harassment, sexual violence, gender-based discrimination, or other sexual misconduct. Please note that this reporting system is not continuously monitored--if this is an emergency, please call William & Mary Police at 757-221-4596 or the Counseling Center at 757-221-3620.
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Initial Information

What type of incident(s)/misconduct are you reporting?







Reporter Information

Information about person who experienced the incident(s)/misconduct

Has the person who experienced the incident(s)/misconduct sought support from any of the following resources?
Check all that apply
















What does the person who experienced the incident(s)/misconduct want?
Check all that apply






Information about person(s) who reportedly engaged in the misconduct

What is the affiliation of the person who reportedly engaged in the misconduct?






Does the person who reportedly engaged in the misconduct know this report is being filed?

Information about additional person(s) or groups who may have witnessed the misconduct or been involved in the situation.

Information about Incident(s)/Misconduct

When did the incident(s)/misconduct take place?


If you would like to upload any files/documents to this form, you may do so here.

Verification