Student Complaint Form

This complaint form is not for submitting complaints from students in Cardinal Village. Please reach out to your Complex Director. Contact information can be found here:
https://www.lamar.edu/students/student-engagement/housing-residence-life/contact-us/index.html

Lamar Student ID Number*

L#

Name*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Email*

Phone*

Major

Class

Freshman Sophmore Junior Senior Graduate

Date and Time of Incident

:

Location of Incident

Incident Summary

If there were witnesses, please list below

Has this incident occurred before?

Yes No

If yes, please give details of previous occurrence

Have you attempted to resolve this incident before?

Yes No

If yes, what were the results

What is the desired resolution you are seeking for this incident?

Please share additional information you feel is valuable