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Title IX Incident Report

    If you are experiencing an emergency please call 911.

    Please provide detailed information regarding the incident you are reporting. Your submission will be reviewed by the Holy Cross College Title IX team within 24 hours, 7 days per week.

    Fields marked with an asterisk are required.


    Your full name

    Your phone number

    Your email address

    Your physical address

    Date of incident*

    Approximate time of incident

    Location of incident*

    Have you notified campus security or called 911?

    Please list the individuals involved (excluding yourself). Include as much descriptive or contact information as you can provide, such as name, phone number, email address, and where someone lives.

    Involved parties*

    Please provide a detailed description of the incident/concern using specific concise, objective language.

    Incident information*