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Home > About Bluefield University > Title IX > Title IX – File a Complaint

Title IX – File A Complaint

Sexual Misconduct Complaint Form

Please utilize the form below to file an anonymous complaint.

Call 911 if there is an immediate threat to the life or safety of anyone involved in this incident.

Today's date: *

Reporter's name: (This report can be made anonymously)

First

Last

Date of the incident: *

Description of the incident: *

Did you witness the incident? *

Yes
No

Please list any other witnesses who can corroborate the incident:

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