ACC Anonymous Complaint Form

ACC Anonymous Complaint Form
The purpose of this complaint form is to comply with Texas SB 968 to allow an individual to make an anonymous complaint regarding an allegation of sexual harassment, sexual assault, dating violence or stalking committed against or witnessed regardless of the location in which the alleged offense occurred.
Name of Individual the Complaint Involves

First NameLast Name
Date of Complaint

MonthDayYear
Date
Describe your complaint in detail. Include names of parties involved, location, date and time of event, personnel or facility that you are referring to.
Give additional comments which you believe will be important during further investigations of your complaint:
Please verify that you are human*
Should be Empty: