TITLE IX Sexual Harassment REPORTING Form

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Use this form to REPORT concerns of Title IX sexual harassment of which you have knowledge. If you are the alleged victim of sexual harassment, please complete the COMPLAINT form instead of this form. You must complete all required fields and click SUBMIT for this form to be submitted.

Email *

Safford Unified School District complies with federal and state laws prohibiting unlawful discrimination based on race, color, national origin, sex, disability and age in its programs and activities. Any person that believes they have been harassed or discriminated against based on his/her sex can file a report under this procedure by contacting the District's Title IX Coordinators as follows:

Mr. Kent Baldwin
Title VI, IX, Section 504 Coordinator
734 11th Street Safford, AZ 85546
(928) 348-7052
discrimination@saffordusd.com

Your Full Name *

Your Position/Title *

Your Phone Number *

Location of Incident *

Alleged Victim's Name *

Alleged Abuser's Name (if known)

Description of Incident *

Any Additional Information You Would Like to Include

I affirm that I myself am completing this form and I have provided truthful information above. * *

Type name below

Please click submit below.

This form will then be sent to the Title IX Coordinator.

A copy of your responses will be emailed to the address you provided.

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