Sexual Misconduct and Sexual Harassment Reporting Form


In the event of an EMERGENCY, please do not use this form.
Call LSUE Police (337-550-1225) or call 911.

Prior to completing this form, please review the institution's Sexual Misconduct policy at PM-73

This form is designed to provide students, employees, faculty, vendors, visitors, or others with an on-line method to report specific information related to an alleged incident(s) of sexual misconduct, sex discrimination, sexual harassment, dating violence, stalking, or retaliation in accordance with PM-73.

If there is a possibility that a student may harm themselves or others, dial 911 immediately. This form should NOT be used to report emergencies.

 

Reporter Information

If you wish to identify yourself, please fill in the information listed below.

If the person completing this form is the victim, you may choose to identify yourself or not.

If you are a third party reporting source (not the victim), include your information below, and include the victim's information in the "Involved Parties" section.
Involved Parties
If multiple individuals are listed, include each on a separate line.
Incident Information


While providing details is essential to investigating your complaint, please be advised that some or all of the information you provide in this section may be shared with the person(s) you are accusing.  You may supplement this description later if you wish to share additional details later.
If this is a discrimination or harassment complaint, please indicate the protected status(es) that is/are the basis of the alleged behavior:
Have you taken any action to stop the behavior?
Supporting Documentation

Please email any supporting documentation to titleIXcoordinator@lsue.edu.  Supporting documentation can include police reports, pictures, screenshots, emails, etc.