DRS Title IX Complaint Report

Please use this form to report an allegation of sex/gender-based discrimination, sex/gender-based harassment, sexual harassment (including sexual assault, dating violence, domestic violence, and stalking), sexual misconduct, or retaliation which are prohibited by Title IX and DHS policy.

This form is meant for use by students, parents or guardians, and members of the public. DRS personnel, vendors, consultants, and contractors are required to use the "Mandatory Procedure for Reporting a Complaint" protocol outlined in the IDHS Title IX Procedure Manual. Only a student, parent or guardian, or member of the public may choose to report an allegation anonymously using this form. Our ability to properly investigate an allegation depends on the information provided, so please provide us with as much information as you're able to.

We are not able to guarantee that your report will remain confidential. In certain instances, we may be required to disclose it by law.

You do not need to answer every question to submit the form. If you have any questions, please call the Title IX Coordinator at 217-606-9056 or email DHS.DRS.TitleIXCoordinator@illinois.gov.

Section 1 - Who is filling out this form?

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Section II - What happened?

If so, please keep those materials.

Section III - Who do you believe was harmed?

Section IV - Who do you believe caused the harm?

(e.g., principal, teacher, security guard, or coach)

Section V - Do you have any other information you would like to share?