Student Complaint Form

General Information

Enable additional features by logging in.

Type of Complaint(Required):

This field is required.

Learn more

Please select one

Urgency of this report(Required):

This field is required.

Date of incident(Required):

This field is required.

Name of Department(Required):

This field is required.

Learn more

Please select department or area. If Other, please describe below

Please be sure to name yourself in this section

Name or Organization

Please include your Student ID number

Please include your phone number

Please include your email address

Statement of Complaint

Please describe your complaint in detail. Include the names of persons, locations, and dates involved. If the complaint is against specific person(s), please list their names and titles.(Required) This field is required.

What solution are you seeking that will be satisfactory?(Required) This field is required.

What steps have you taken to resolve this issue?(Required) This field is required.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

General Information

Please be sure to name yourself in this section

Statement of Complaint

Supporting Documentation

Submission