If this is an emergency, do not use this form. Please call Campus Safety (724-846-9632), or 9-1-1.

To make a report under Title IX, please fill in the form below. All fields are optional and your report will be anonymous unless you choose to provide your details.

Contact Information

Name:

Student, Faculty, or Staff ID:

Phone Number: 

Please include the area code

Email:

Incident Information

Name of victim or target of harassment, 
discrimination or retaliation:

Name of person 
accused of misconduct:

Date and time of incident:

Location of incident:

Complete description of incident: 
Please Describe The Behavior/Situation You Are Concerned About Or Witnessed 

List name(s) of any witnesses and other people involved: