UCSC Policies and Procedures

Sex Offense Policy

Appendix G: Sexual Harassement Complaint Form

Forms You do not have to use this form to receive assistance:

• Complaint Form-English
• Complaint Form-Spanish

If you believe you have been sexually assaulted or harassed by any member of the University community or while participating in a University sponsored activity, you are encouraged to bring it to the attention of the Title IX/ Sexual Harassment Officer (SHO), and/or other University official.  This form is to be used for reporting to the Title IX/SHO.  If you would like to initiate a criminal investigation of a sexual assault, call the UCSC Police Department, 9-1-1 or (831)459-2231, as soon as possible.

The Title IX/SHO is available to provide you with answers to questions you may have about the process and your options, advice and/or referrals.  You are not obligated to use your name; however, should you want disciplinary action taken, if appropriate, in response to your allegation(s), your name is essential to the process.  If you feel strongly about confidentiality, the Title IX/SHO can put the person “on notice” and attempt to stop the behavior through an educational process on the law and policy on sexual harassment and the inappropriateness of the person’s conduct.   Whatever your decision, the Title IX/SHO or any other University official is available to assist you in stopping the unwelcome and unwanted conduct.

A copy of the UCSC Policy on Sexual Assault, the UC Policy on Sexual Harassment and the Procedures For Reports of Sexual Assaults and Sexual Harassment can be obtained from the Title IX Office or online at: www2.ucsc.edu/title9-sh

Send Complaint Forms to:
Rita Walker, Title IX/SHO, 119 Clark Kerr Hall
phone (831) 459-2462 / email: rew@ucsc.edu