Maxient Reporting Forms
Our Commitment To You
Berkeley City College's core values include equity and respect, and our college is committed to providing a safe and positive environment for students, faculty, and staff. This commitment is crucial to building an environment for growth and learning for every member of our campus community.
The following forms can be used to file a report for any issues or concerns within Berkeley City College or the Peralta Community College District. These forms connect individuals to the right college resources if you or someone you know is experiencing challenges. You can inform or report a variety of things like health & wellness concerns, basic needs access, conduct issues, academic integrity concerns, student rights and grievances, or Title IX matters. The forms also a safe way to let BCC and/or the District know about possible harassment, discrimination, or other harmful situations so the appropriate individuals can respond and provide support in a timely manner.
Be sure to closely read the descriptions for each form so that your report is forwarded to the appropriate service area for the quickest response:
District Forms
Community Safety and Property Form
Use this form whenever you notice a safety issue, property concern, or health hazard on campus such as: broken lights, vandalism, or slippery surfaces. This form lets you report your concern anonymously if you’d like, or add your contact info if you want a follow-up. If the situation requires immediate attention or poses a real-time threat, call campus security or 911 instead.
General Complaints Form
Use this form to alert and resolve general campus or district concerns. Examples of concerns can include- a communication glitch, procedural hassle, registration trouble, or unclear college process. This form lets you share your concern so someone can help guide you or redirect it to the right place. You can stay anonymous, but if you want follow-up, include your contact info. For formal student grievance topics, please use the Informal Student Grievance Form instead.
Discrimination and/or Title IX Form
Use this form if you have experienced or witnessed discrimination, harassment, or sexual misconduct (Title IX). This includes concerns related to race, gender, sexual orientation, disability, religion, or other protected categories, as well as incidents of sexual harassment, assault, or stalking. You can file the report whether the incident happened to you directly or to someone else, and you may choose to remain anonymous. If someone is in immediate danger, please call 911 or campus security right away instead of using this form.
Click here to file a Discrimination and/or Title IX Harassment report.
Berkeley City College Maxient Forms
Basic Needs Form
Use this form if you're facing challenges securing essentials like food, housing, childcare, transportation, or mental health support and need help connecting with on- and off-campus resources. You can indicate how urgent your situation is, describe what's changed, and share your availability for someone to reach out. The form is a helpful way to access care and resources when you’re dealing with unexpected stressors that make focusing on school tough.
Click here for to file a Basic Needs support form.
Click here to learn about BCC's Basic Needs Center services and hours of operation.
Student of Concern Support Referral Form
Use this form when you, a student, or someone you know is experiencing emotional, personal, or academic challenges—like anxiety, sudden behavior changes, excessive absences, or self-harm thoughts that are impacting well-being. This form helps connect students to caring campus staff and resources in a supportive, confidential way. If you're concerned but not facing an emergency, this is the right place to get help or bring someone to attention. If someone is in immediate danger, please call 911 or campus security instead.
Student Conduct Incident Reporting Form
Use this form to report student behavior that may violate the Peralta District’s Student Code of Conduct or other college policies. Examples include disruptive actions in class, threats, harassment, substance use, or other misconduct affecting the campus community. This form ensures that all reports of a student conduct incident are addressed fairly and appropriately. If the behavior presents an immediate safety risk, call 911 or campus security instead of using this form.
Informal Grievance Form
Use this form if you believe a college decision (such as a grade, disciplinary action, or denial of financial aid) has unfairly affected your rights or status as a student. This form is meant for issues such as grading errors, violations of free speech, or procedural mistakes in admission or probation decisions. Before filing, try to resolve the issue informally by talking with the instructor or the involved department within 30 days. If your concern involves discrimination, sexual harassment, or Title IX concerns, please use the dedicated Title IX/Discrimination report instead.