TTU Student Complaint Form

Student's Description of Problem

To be used for issues not covered by other policies.

Must be submitted within 10 business days of the event giving rise to the complaint.

Instructions: Please fill out all of the required fields in the form and press the Send button. A confirmation e-mail will be sent to the e-mail specified.

To submit anonymously, just type "Anonymous" in the name section. Also any sections that might identify you can be left blank.

* Required

Your Name (Last, First, Middle)
Please let us know your name.
Tech ID#
Please enter in Txxxxxxxx format.
Address: (Street/City/State/Zip)
Invalid Input
TTU Student Email
Please let us know your email address.
Home Phone: (xxx)xxx-xxxx
Invalid Input
Cell Phone: (xxx)xxx-xxxx
Invalid Input

Date of Alleged Conflict or Action (*)
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Name of Department or office in which problem occurred:
Please enter a Dept. name or office number.
List other person(s) who may provide information:
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Summary of your complaint: (250 char max) (*)
Please enter your complaint so we may further assist you.
Describe efforts you have made to resolve this matter: (250 char max)
Please enter text into the field. If no efforts have been made, enter "none".
What do you think would be a fair resolution to this issue? (250 char max)
Please enter text in the field. If you have no ideas for resolution, type "none".

Please retain a copy of this complaint for your records.
Please be prepared to provide additional documentation, if applicable.

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