Office of Institutional Equity & Access (OIEA) Data Intake Form for Staff
Do not use this form if you are currently in a situation where police, medical, or other emergency services are needed immediately. In the event of an emergency, call 911 for assistance.
Please note that this is not a confidential space for reporting incidents related to sexual assault, sexual misconduct, stalking, interpersonal violence (dating and domestic) and sexual harassment, which fall under Title IX federal guidelines. If you have a concern of sexual harassment, sexual assault, domestic violence, dating violence, or stalking, please visit the Title IX Reporting Site to report the concern.
This form is intended to provide UT Southwestern students, residents, and post-doctoral researchers with an online means to report incidents of bias or discrimination on the basis of race, color, national origin, religion, sex, age, disability, genetic information, protected veteran status, citizenship status, sexual orientation, gender identity, or gender expression. Every UT Southwestern community member is encouraged to report incidents of bias or discrimination that they experience or witness. Generally, the Division of Equal Opportunity at the Office of Institutional Equity and Access (“EO”) will need all the information below. Alternatively, reports of bias or discrimination may also be emailed to EqualOpportunity@utsouthwestern.edu.
What is a Bias Incident?
A bias incident involves actions committed against or directed toward a person or property that are motivated, in whole or in part, by a bias against race, color, religion, sex, sexual orientation, gender identity, national or ethnic origin, age, status as an individual with a disability, protected veteran status, genetic information, or other protected classes as required by law and that interferes with one's educational opportunities or disrupts the learning environment.
Complaints are confidential and will not be disclosed to anyone who does not need to know. This applies to reporters, respondents, witnesses, and any other persons involved with a complaint.
After receiving a report submitted through this portal, a member of EO will contact you to discuss your concerns.