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The University of Texas at Dallas

Report an Incident

Your identity will remain confidential. You have the option to submit a report anonymously; however, the Dean of Students Office may be limited in completing the investigation and taking disciplinary action without the ability to thoroughly investigate by contacting you as the reporting party.

Email (optional)

Phone (optional)

Date and time of incident

Location of incident

Witnesses (if any, to the incident)

Organization (if known)

Was anyone injured?

Was alcohol involved?

Were organization advisors/coaches present?

Were any organization leaders present?

Please provide details of the incident

I agree that the above statement is true and accurate to the best of my knowledge. I understand that I may be contacted by the Dean of Students Office to provide further information.


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