Withdrawal of the Formal Complaint Form

This is the Withdrawal of the Formal Complaint Form to be submitted to be considered by the Title IX Office.

Withdrawal of the Formal Complaint Form (Title IX Sexual Harassment)

Instructions for filling out this form: Please provide your full name, student identification number, and email address as well as the name of the individual against whom the complaint was filed. You may state the reason(s) for withdrawing your formal complaint in the Reason for Withdrawal section, but that is not required. Read the acknowledgment statement carefully, sign your name in the provided space, and enter the date when you are signing the form. If you have any questions or need assistance while filling out the form, please do not hesitate to reach out to the Title IX office.

Name of Complainant(Required)

First Last

Student ID of Complainant(Required)

Student ID Confirm Student ID

Email address of Complainant(Required)

Enter Email Confirm Email

Name of Respondent(Required)

First Name of Respondent Last Name of Respondent

Reason for Withdrawal

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.

Acknowledgment: I hereby notify the Title IX Coordinator that I wish to withdraw my formal complaint or specific allegations therein. I understand that the withdrawal of my complaint may result in the dismissal of the investigation related to this complaint.(Required)

Complainant First Name Complainant Last Name

Verification of Electronic Signature(Required)

I verify that I am the person signing this Withdrawal of the Formal Complaint Form and it is my name listed above.

Once you have completed the form, the form will be submitted to the Title IX Coordinator for processing.

If you have any questions or need assistance while filling out the form, please do not hesitate to reach out to the Title IX office.

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.