Discrimination Reporting


Reporter's Information





Date & Time of Incident
If date and time is unknown, enter the date and time that you became aware.




Complaint and Incident Details


For the Incident Description:
If a student is involved, please provide the following information:

First and Last Name (e.x. John Smith)
Student ID (e.x. ID: 5024444)
Email Address (e.x. smithj004@wcsu.edu)


Explain your complaint in detail. Include the following information. Attach documents you believe may be helpful in investigating your complaint

1. Describe the specific incident(s) of discrimination/harassment/retaliation. List dates, times, locations, names, and titles of people involved.

2. Provide the names and titles of people you believe were treated more favorably due to their protected class status. List protected class status (race, age, sex, disability, etc) of each person.