Appeal of Supportive Measures, Emergency Removal, or Decision Regarding a Protective Order Form

Appeal of of Supportive Measures, Emergency Removal, or Decision Regarding a Protective Order

This form allows a Complainant or Respondent to appeal a decision issued by the Title IX Office regarding supportive measures, emergency removal, or a protective order. Appeals must be submitted within five (5) business days of the decision and should include the type of decision being appealed, the reason for the appeal, supporting facts, and any requested changes. Extension requests must be submitted in writing by the close of business on the fifth business day.

Appeal of Supportive Measures, Emergency Removal, or Decision Regarding a Protective Order Form

Instructions for filling out this form: Both Complainant and Respondent may appeal supportive measures issued by the Title IX Office, emergency removal decision, or any decision regarding a protective order. A party may commence an appeal by submitting their Statement of Appeal to the Title IX Coordinator within (5) business days of the appealable issue. The Appeal must set forth: 1) Whether it is a supportive measure, an emergency removal, or a decision regarding a protective order being appealed, 2) What is/are the reason(s) for the appeal, 3) What fact(s) support the appeal, and 4) If applicable, what change(s)s is/are being requested? Upon showing of good cause, an extension may be requested to file the Statement of Appeal. The request for extension must be in writing be submitted to the Title IX Coordinator by the close of the business day on the fifth business day following issuance of the supportive measure, emergency removal, or decision regarding a protective order. Parties are not required to file an Appeal. Parties who choose to file an Appeal of a supportive measure, an emergency removal, or the decision regarding a protective order may use this form.

Name of Party Completing Form(Required)

First Last

Email address of Party Completing Form(Required)

Enter Email Confirm Email

Address of Party Completing Form(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone number of Party Completing Form(Required)

This Appeal involves:(Required)

Supportive measure(s)

Emergency Removal

Decision regarding a protective Order

Reason(s) for Appeal(Required)

Please clearly state the reason(s) you are appealing the decision. Be specific and provide factual details to support your appeal.

Supporting Fact(s)(Required)

Provide the specific, factual details that support your appeal. Be as clear and detailed as possible.

Requested Change(s) (If Applicable)

If you are requesting a change to the supportive measure, emergency removal, or protective order decision, please describe the specific change(s) you are seeking.

Upload Any Additional Document

Upload your document in .pdf, .doc or .docx format. To upload, click on "Choose File" to access your documents and choose the file you wish to upload. "Choose File" may not appear to be a link, but it is.

Accepted file types: pdf, doc, docx, Max. file size: 25 MB.

Please provide your digital signature below.(Required)

First Name of Party Completing Form Last Name of Party Completing Form

Verification of Electronic Signature(Required)

I verify that I am the person signing this Appeal of of Supportive Measures, Emergency Removal, or Decision Regarding a Protective Order

If you have any questions or concerns about this process, please email Marshall’s Title IX Coordinator at titleix@marshall.edu.

Important Reminder: Online Reporting Strongly Preferred

Title IX Reporting - Online Submissions PREFERRED:

The Title IX Office prefers the submission of Title IX report through the online reporting system. It is preferred that all Title IX reports be submitted through our secure online form. This centralized process helps us review reports promptly, triage concerns efficiently, and ensure consistent and equitable responses for our campus community.

In‑person, email, and phone submissions are accepted on a limited basis as reporting methods for Title IX incidents. Those conversations may still occur for support purposes, but they do not constitute an official Title IX report.

Submit an Online Title IX Report

Please note: Due to staff availability, it may take up to five business days for your report to be reviewed.

If You Are in Crisis

Call 911 or contact the Marshall University Counseling Center for immediate support:
Prichard Hall, First Floor
304-696-3111
Marshall University Counseling

We appreciate your understanding and remain committed to supporting a safe, respectful, and inclusive campus environment.

Appeal of of Supportive Measures, Emergency Removal, or Decision Regarding a Protective Order

Appeal of Supportive Measures, Emergency Removal, or Decision Regarding a Protective Order Form

Important Reminder: Online Reporting Strongly Preferred

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