Discrimination and Harassment Reporting Form

This form is designed for anyone (students, faculty, staff, visitors and guests, etc.) to report incidents of harassment and discrimination to the University, including:

  • Civil rights offenses
  • Sexual harassment
  • Sexual misconduct
  • Relationship violence
  • Retaliation
  • Stalking
  • Bullying

Report an Incident external website

Do not use this form to report events presenting an immediate threat.

If you require emergency assistance, please contact the University Police Department at (570) 408-4999 or call 911.

The University’s Title IX Coordinator (or designee) receives and reviews all complaints and routes them to the appropriate University administrator for investigation.

This form can be used by any person making a report on their own behalf who wishes to remain anonymous. It can also be used to anonymously file a report on behalf of another person. The University will investigate every report to the extent possible. However, it is important to understand that if you choose to file an anonymous report, you may limit the University’s ability to remedy the problem. You can review the University’s policy and procedures for such reports on the Title IX page.

The University will make every effort to protect the privacy of all involved, but the information you provide in completing this form is not confidential and may be shared as necessary for the University to take the appropriate action.

Contacts

For on-campus confidential reporting, contact:

Health and Wellness Services Center
Passan Hall
Regular Hours Phone (Mon.- Fri. 8:30 a.m.-4:30 p.m.): 570-408-4730
After-hours Hotline: 570-408-CHAT (2428)

For off-campus confidential reporting, contact:

Victims Resource Center: 570-823-0765
Domestic Violence Service Center: 570-823-7312

Reporting Form

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