Sexual Misconduct Incident Report

This form may be used to report any act of sexual misconduct that should be reported to Rensselaer.  This form is anonymous, but you may optionally include personally identifiable information in the fields below.

Anonymous Complaints

You have the right to file an anonymous complaint. However, Rensselaer’s ability to investigate and respond to the conduct may be limited. Recognizing that Rensselaer has a legal obligation to review all reports, the Institute will weigh such factors as the seriousness of the alleged conduct, whether there have been other Complaints of a similar nature against the same Respondent, and the Institute’s commitment to provide a reasonably safe and non-discriminatory environment. Rensselaer will determine if it is necessary to proceed with an investigation or implement other appropriate remedies.

Incident Information
Please describe to the best of your ability what happened.
Enter the characters shown in the image.