Online Complaint Report Form
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 CPS policy.

This form is meant for use by students, parents or guardians, members of the public, and charter schools that do not have access to ASPEN. All CPS staff, charter schools with access to Aspen, vendors, contractors, and consultants are required to use the "Mandatory Procedure for Reporting a Complaint" protocol outlined in the OSP Procedure Manual which is available at www.cps.edu/osp.

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.

YOUR RESPONSES TO ALL THE QUESTIONS LISTED BELOW ARE OPTIONAL, unless you are a charter school reporting an incident via this online complaint form.

You do not need to answer every question to submit the form. If you have any questions, please call our office at (773) 535-4400 or email osp@cps.edu.
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SECTION 1: WHO IS FILLING OUT THIS FORM? (OPTIONAL)
What is your name?
What is your email address?
What is your phone number?
Is it okay if we contact you for further information?
Clear selection
SECTION 2: WHAT HAPPENED? (OPTIONAL)
Can you tell us what happened?
What day did this happen?
MM
/
DD
/
YYYY
What time did this happen?
Where did it happen?
Does evidence exist? (e.g. texts, photos, video) If so, please keep these materials.
SECTION 3: WHO DO YOU BELIEVE WAS HARMED? (OPTIONAL)
What is the name of the person you believe was harmed?
What school do they attend?
What grade are they in?
If there are additional persons who you believe were harmed, please include information for them below.
SECTION 4: WHO DO YOU BELIEVE CAUSED THE HARM? (OPTIONAL)
What is the name of the person who you believe caused the harm?
Is the person a student, a school staff member, someone from outside the school, a family member, or someone else?
If they are a student or staff member, what school do they attend or work at?
If the person is a student, what grade are they in?
If the person is a staff member, what is their role (e.g. principal, teacher, security guard, or coach) at the school?
If there are additional persons who you believe may have caused harm, please include information for them below.
SECTION 5: DO YOU HAVE ANY OTHER INFORMATION YOU WOULD LIKE TO SHARE? (OPTIONAL)
Is there anything else you would like to let us know?
Thank you for helping us keep students safe. If you have any questions or concerns or wish to speak with the OSP, please also call 773.535.4400 or email osp@cps.edu.
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