Anonymous Sexual Assault Report Form
ANONYMOUS REPORT FORM
SEXUAL HARASSMENT, SEXUAL ASSAULT, PARTNER VIOLENCE & STALKING
NOTE: University employees, including student staff, must report to their supervisor or the
Office of Affirmative Action & Equal Opportunity if they receive notice of an incident of sexual harassment, including sexual assault, partner violence and stalking.
The university takes sexual harassment, including issues of sexual and interpersonal violence, seriously. If you as a student survivor or reporter wish to remain anonymous, fill out this Anonymous Report Form. The university will use this information for statistical purposes, to better understand the scope of sexual violence on campus, and to develop and implement preventive efforts. If you fill this form out with a University employee, including a student employee, the report will no longer be anonymous.
The university is required to investigate allegations of sexual misconduct to the best of its ability. As a result, the university will follow up on any specific, identifying information provided in this anonymous report.
If you wish to discuss a concern while maintaining confidence to the greatest extent possible, you have the following options:
- Counseling professionals in the University Counseling & Testing Center (541-346-3227) have a limited privilege to protect information shared with them, consistent with state and federal law.
- Health care professionals in the University Health Center (541-346-2770) have a limited privilege to protect information shared with them, consistent with state and federal law.
- The off-campus community resource Sexual Assault Support Services (541-343-7277) can provide free confidential support and advocacy, but cannot arrange for campus-based services or accommodations.