Title IX Report Form for Sexual Assault and Misconduct

For definitions of sexual assault and misconduct see About Title IX Reporting

To report other crimes on campus, please use the General Crime Report Form.

If a situation is urgent or you have immediate safety concerns, notify UNT Dallas Police (on campus: 972-780-3000) (off campus: 911) or call the Family Violence (Genesis Women’s Center) Domestic Violence Program at 214-942-2998, or the Dallas Area Rape Crisis Center at 972-641-7273.

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Date of Incident (estimate if unsure)

Location of Incident

Please provide a detailed description of the incident*

Your Name

Your Email

Your Phone Number

Person Harmed

Name

Phone Number

Affiliation with UNT Dallas

If others were harmed, provide details

Person Accused

Name

Phone Number

Relationship to Person Harmed

If others were involved, provide details

If this incident has been reported to another campus department or external agency, please describe below