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Discrimination, Harassment, or Sexual Misconduct Report Form


You may use this form to make a report of discrimination, harassment, or sexual misconduct but are not required to use this form. You may also make a report by contacting the Office of Institutional Equity and Equal Opportunity at 859-257-8927 to speak with a staff member.

BEFORE YOU BEGIN: If you have immediate safety concerns or this is an emergency, contact UKPD at 859-257-UKPD(8573) or 911. Reports are reviewed during normal business hours and are not monitored after hours, on weekends, or during official University holidays.

You will be contacted by a member of the staff of the Office of Institutional Equity and Equal Opportunity if you submit this form. Staff from the Office of Institutional Equity and Equal Opportunity will contact you to discuss options available for remedying the matter you're reporting.


The Office of Institutional Equity and Equal Opportunity is limited in its ability to respond to and address reports made anonymously. If you have concerns about filing a report that includes your name, please contact Institutional Equity at institutionalequity@uky.edu to learn more about how the Office of Institutional Equity and Equal Opportunity protects your private information.

If you would like to make a confidential report of sexual misconduct, please contact the Violence Intervention and Prevention Center at 859-257-3574.

If you would like to access student support services for an incident of discrimination or harassment, please contact Jason Brooks at 859-562-0848.

Background Information

Please provide some general information about yourself.

The Office of Institutional Equity and Equal Opportunity is limited in its ability to respond to anonymous reports.

 
Email address must be of a valid format.
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If you don't know, please enter today's date and explain in the incident summary.
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If you don't know the location, click other & state that you don't know as the specific location.

Involved Parties

Please include individuals involved in the incident. If you also hold a role below, please include your information in this section. 
Definition of Roles:

  • Complainant: The individual who experienced the alleged behavior.
  • Respondent: The individual who engaged in the alleged behavior.
  • Witness: An individual who may have information related to an incident reported to Institutional Equity. 
Involved party 1

Additional Information

This field is required.
If you are reporting an incident of perceived discrimination or harassment, please indicate on what basis you believe this incident behavior occurred.(Required)
You must make at least one selection.
If you are reporting an incident of sexual misconduct, please indicate the type below:(Required)
You must make at least one selection.

Supporting Documentation

Please provide any information to support this report. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission