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Title IX Compliant Intake Form Office of Compliance Title IX Coordinator DATE:CASE NUMBER:NAME OF COMPLAINANT: EMAIL ADDRESS:PHONE NUMBER:ADDRESS:ALLEGATION(S): ALLEGED VIOLATIONS:EXPLAIN THE NATURE
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How to fill out title ix compliant intake

01
To fill out a Title IX compliant intake form, follow these steps:
02
Start by providing your personal information, such as your name, contact information, and student/employee ID (if applicable).
03
Indicate the date and time of the incident you want to report, as accurately as possible.
04
Describe the incident in detail, including who was involved, what happened, and any witnesses present.
05
Specify the location where the incident occurred, whether it was on campus or off-campus.
06
Provide any supporting evidence you may have, such as photographs, videos, or text messages.
07
Indicate if you have already reported the incident to anyone else, such as campus authorities or law enforcement.
08
State whether you would like to remain anonymous or if you are comfortable with your name being disclosed during the investigation.
09
Lastly, sign and date the form to acknowledge that the information provided is true and accurate to the best of your knowledge.

Who needs title ix compliant intake?

01
Anyone who has experienced or witnessed a potential Title IX violation may need to fill out a Title IX compliant intake form. This includes students, faculty, staff, or any other individuals affiliated with an educational institution that is subject to Title IX regulations. It is important to complete this intake form to initiate the investigation process and ensure that your rights under Title IX are protected.
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Title IX compliant intake refers to the procedure in which schools and institutions collect information and investigate reports of sexual harassment and misconduct in compliance with Title IX regulations.
Any individual who experiences or witnesses sexual harassment or misconduct within a school or institution that receives federal funding is required to file a Title IX compliant intake.
Title IX compliant intake forms can typically be filled out online or in person, and require detailed information about the incident, the individuals involved, and any witnesses.
The purpose of Title IX compliant intake is to ensure that reports of sexual harassment and misconduct are properly investigated and addressed in accordance with Title IX regulations to create a safe and inclusive environment for all individuals.
Information such as date, time, location of incident, description of the incident, names of individuals involved, and any supporting evidence or witnesses must be reported on a Title IX compliant intake form.
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