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Sexual Misconduct (Title IX) Complaint Form

IF THIS IS AN EMERGENCY, STOP and CALL 911 or TCC Campus Security at (757) 822-7777 IMMEDIATELY.

Do not use this form to report events presenting an immediate threat to health or safety. **After emergency intervention has been initiated, please fill out this form to make sure that we are aware of the incident.

Use this form to report alleged Sexual Misconduct, including sexual assault, dating or domestic violence, discrimination or harassment based on sex, sexual orientation, gender identity or gender expression, stalking and other forms of sexually exploitative behavior. You may report incidents that occurred both on-campus or off-campus using this reporting form.

This report will be reviewed by the Title IX office during normal business hours. A College official may contact you regarding the information in this report.

Although TCC strives to protect the reporter’s confidentiality whenever possible, anonymity cannot be guaranteed. If you choose to remain anonymous, this may impact the College’s ability to address the issues you are reporting. If you have questions, please email the Title IX Office.

Name:
Your Role at the College:
Please select an option…
Sexual assault
Dating or domestic violence
Harassment based on sex, sexual orientation, gender identity, or gender expression
Stalking
Other forms of sexually exploitative behavior
Please select an option…
Normal
Urgent
MM slash DD slash YYYY
Time of Incident
:
AM
PM
Please select an option…
Norfolk Campus
Chesapeake Campus
Portsmouth Campus
Virginia Beach Campus
Regional Automotive Center
Center for Workforce Solutions
Tri-Cities Center
Visual Arts Center
District Administration Building
Skilled Trades academy
Involved Parties

Please list all involved parties and provide as much information as possible. The COMPLAINANT is the person who is alleged to be the victim of conduct that could constitute sexual harassment. The RESPONDENT is an individual who has been reported to have engaged in conduct that could constitute sexual harassment as defined under TCC Policy 1108. A WITNESS is someone who has direct or indirect knowledge of the incident. REPORTER is the person sharing the information (not complainant, respondent or witness).

Name
Role
Phone Number
Email Address
ID Number
DOB (YYYY-MM-DD)
Gender
 
Please select an option…
Yes
No
Not Sure
Please select an option…
Yes
No
Not sure