Submit a Complaint

Complaint Form

Complainant Information

* If the person completing this form is the victim, you may choose to identify yourself or not. If you are a third party complainant who is not the victim, include the victim’s identifiable information only if the victim wishes. * Victims completing this form who provide personally identifiable information can expect the university to follow-up with an appropriate investigation. For information-only reports, victims should omit all personally identifiable information to ensure confidentiality.

Mailing Information

Type and Basis of Complaint

Respondent/Accused Information

* If the person completing this form is the victim, you may choose to identify yourself or not. If you are a third party complainant who is not the victim, include the victim’s identifiable information only if the victim wishes. * Victims completing this form who provide personally identifiable information can expect the university to follow-up with an appropriate investigation. For information-only reports, victims should omit all personally identifiable information to ensure confidentiality.

Complaint

While providing details is essential to investigating your complaint, please be advised that some or all of the information you provide in this section may be shared with the person(s) you are accusing. You may supplement this description later if you wish to share additional details.

Resolution

Supporting Documents

If you have any documents you would like to submit to support your complaint, please email them to Doajo.Hicks@dixie.edu, with the subject title "Inclusion Complaint Supporting Documents."

Sending