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Equity and Compliance Report Form


Please note that this form is NOT a police report. If you are in a situation requiring immediate medical, police, psychological, or other emergency services, do not use this form. Please contact the police or emergency medical services at 911. If you are on campus, contact Campus Public Safety at (emergency) 503-725-5911, or (non-emergency) 503-725-4407, or TTY: 503-725-2511.

 

The primary purpose of this form is to provide support to individuals or communities impacted by incidents of bias, discrimination, and harassment. All reports will be evaluated to determine if further investigation is necessary for potential violations of University policy and/or criminal law.

 

What happens when you submit the form:

  • Once submitted, the report is sent directly to the Office of Equity and Compliance (OEC).
  • The report is reviewed, and OEC reaches out to the reporting party to gather additional information regarding the underlying concern.
  • OEC staff will provide all reporting parties with a list of supportive campus resources.

If you or someone you know would like to speak to a OEC staff member for support or information related to possible policy violations, please contact the Office of Equity and Compliance by phone 503-725-4410 or by email oeac@pdx.edu .

 

It is against univeristy policy to retaliate against a student, employee or any other person affiliated with the University for reporting a concern, filing a complaint, or cooperating in an investigation of a complaint.  

 

**Click here to view the Prohibited Discrimination and Harassment Policy  and the Title IX Sexual Harassment Policy .**

 

Reporting Party Information + Date, Time, Location of Incident

Please provide as much information as possible. OEC may need to engage with you to gather additional details regarding these concerns. 

Note: If you elect to submit this form anonymously, it will limit our ability to engage with you directly and to gather additional information. This will significantly impact out ability to address the underlying concerns fully.

*Responsible employees have a duty to report.

 
Email address must be of a valid format.
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Please enter the date in the following format: MM-DD-YYYY (e.g., 01-01-0000)
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Please enter the time of the incident. If the time is not known, enter
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Involved Parties

Please include the following: the name and role of the Respondent, (if known), and the names and roles of any witnesses or bystanders who may have witnessed the behavior. If you do not know the name of the Respondent, please type, Unknown Respondent in the name field.

Definition of Roles:

  • Complainant: The individual who experienced the alleged behavior.
  • Respondent: The person accused of engaging in the alleged behavior.
  • Witness: A person with a first-hand account of the alleged behavior. (e.g., third party, bystander, observer, participant)
Involved party 1

Description of Incident

This form is used to document and gather information about incidents involving  bias, discrimination, or harassment occurring on or near our campus. Please provide a detailed description of the incident, including when and where it took place, what happened, and who was involved. Be as specific as possible to help us understand the context and nature of the incident.

This field is required.
What is the underlying basis for your concerns?(Required)
You must make at least one selection.
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Would you like to be contacted for follow-up?(Required)
You must make at least one selection.
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.

Submission