Discrimination & Harassment Reporting Form

This form is available for reporting discriminatory or harassing incidents or behaviors that are in violation of the Montana State University Non-Discrimination Policies or Montana Board of Regents Policies. Reports can also be filed directly to the Office of Institutional Equity (OIE) at 406-994-2042 or oie@montana.edu.

Do not use this form to report events presenting an immediate threat to life or property. If you require emergency assistance, please contact University Police at 994-2121 or dial 911.

To report sexual misconduct or sexual violence, please click here or contact the Title IX Coordinator, dletendre@montana.edu or 406-994-2042.

Please provide as much information as possible.

Report Filed By:

Title/Affiliation:

Phone Number: (please include area code. Example: 123-456-7890)

Email Address:

Incident Overview:

What is the nature of this matter?

Incident Description: Please provide as many details regarding the incident, including what you observed, the locations of witnesses and any other information that could be valuable in the investigatory process.

People Involved: (Students, University Staff, Faculty) - Please include full name and other identifying information when possible.

Were there witnesses of the incident: Please include full name and contact information (if known) when possible.

Please indicate other departments that have been notified (optional):

College Dean University Administration
Dean of Students University Employee
Faculty Member MSU Police Department
Supervisor VOICE Center
MSU Psychological and Counseling Services   Other:


 

Click here to view the Montana State University Non-Discrimination Policies and Grievance Procedures. Please contact the Office of Institutional Equity with any questions or concerns about filing a report, 406-994-2042 or oie@montana.edu.