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Office of Human Resources

Discrimination, Harassment and/or Retaliation

Incident Reporting Form

Prior to completing this form, please review the institution's policy on non-discrimination and anti-harassment and policy and procedures related to sexual harassment and violence.

Please complete this form to the best of your ability; however, the form does not need to be completed in its entirety for the complaint to be submitted. If the form does not contain specific information, the institution's review and response may be limited. The Office of Human Resources may contact the complainant, respondent, and/or any potential witnesses. Confidentiality will be maintained to the extent possible under the law.

This form is designed to provide an online method to report specific information related to an alleged incident or incidents of workplace discrimination, harassment and/or retaliation. In lieu of completing this form online, you may contact staff and faculty relations to discuss alternate methods to report. You may also contact Clemson University's anonymous ethics/safety hotline either online or by calling 1-877-503-7283.

Please note: Some incidents identified on this form may be covered by Title IX and will be initially provided to the Title IX Coordinator for review. If you prefer, you can file an incident report directly with the Title IX Coordinator. If you’re unsure if the incident should be reported on this form or directly to the Title IX Coordinator, please complete this form to the best of your ability and the Office of Human Resources will forward the form to the Title IX Coordinator if appropriate.

Complete the Incident Reporting Form

Need additional information? Visit the Reporting Knowledge Center.

Office of Human Resources
Office of Human Resources | 108 Perimeter Rd, Clemson, SC 29634