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Sexual Assault, Stalking, or Intimate Partner Violence Report or Disclosure Form Today's Date / / Date of Report/Disclosure / / To: Title IX Coordinator From (Check one) Full time Staff Member Part
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How to fill out sexual assault report bdisclosure

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How to fill out a sexual assault report disclosure:

01
Start by obtaining the necessary forms: Contact your local police department or the appropriate authority to request the sexual assault report disclosure forms. They will provide you with the paperwork required to document the incident.
02
Provide your personal information: Begin filling out the report by including your full name, address, contact information, and any other details the form requests. This information is crucial for identifying you as the victim or survivor.
03
Describe the incident: Clearly and concisely document the details of the sexual assault incident. Include information such as the date, time, and location of the assault, as well as any identifying information about the perpetrator(s) if known.
04
Provide a narrative of the incident: In this section, you have the opportunity to explain the assault in your own words. Provide as much detailed information as you are comfortable sharing, including any physical injuries sustained or emotional impact experienced.
05
List any witnesses: If there were any witnesses present during the assault, provide their names, contact information, and brief statements about what they observed. Witnesses can play an essential role in corroborating your account.
06
Provide additional information: The form may ask for additional information, such as previous incidents or relationships with the perpetrator(s). Answer these questions truthfully and to the best of your ability, as they can aid in the investigation.
07
Seek medical attention: It is crucial to seek medical attention after a sexual assault. Even if you choose not to report the incident immediately, a medical evaluation can help preserve evidence and ensure your overall well-being. Consider including any medical reports or documentation along with your report, if applicable.

Who needs a sexual assault report disclosure:

01
Survivors/victims of sexual assault: If you have experienced sexual assault, filling out a sexual assault report disclosure is important for seeking justice, holding perpetrators accountable, and receiving necessary support and resources.
02
Law enforcement agencies: Sexual assault report disclosures are needed by law enforcement agencies to investigate the incident and potentially pursue legal action against the perpetrator(s). These reports help build a case and provide a comprehensive account of the assault.
03
Victim support organizations: Organizations and support services that assist survivors of sexual assault often require sexual assault report disclosures to assess the need for victim advocacy, counseling, or other resources. These reports can help facilitate access to necessary support systems.
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Sexual assault report disclosure is a form used to report incidents of sexual assault.
Individuals who have experienced or witnessed a sexual assault incident are required to file a sexual assault report disclosure.
To fill out a sexual assault report disclosure, the individual must provide detailed information about the incident, including date, time, location, and any other relevant details.
The purpose of sexual assault report disclosure is to document and report incidents of sexual assault for further investigation and to provide support to the victims.
Information such as the date, time, location, description of the incident, and contact information of the victim and any witnesses must be reported on sexual assault report disclosure.
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