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University of Louisville Anonymous Reporting


Please note, unless there is a red * next to the question, the information is not required. 

Reporter Information

Please note, you can submit this report anonymously. However, if you wish to receive follow-up from a campus office or support resource, you will need to provide your contact information.

 
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Complainant

Please indicate below the complainant's gender and relationship to suspect. To identify the relationship to suspect, please complete the pull down section asking for "role" below. To add an additional complainant, please click "add another person" and complete accordingly.

Involved party 1

Questions Regarding the Incident

Reporter Role in Incident(Required)
You must make at least one selection.
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Reporter Affiliation with UofL(Required)
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Was the complainant under the influence of substance, drugs or alcohol?(Required)
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Complainant ethnicity(Required)
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Complainant Residence(Required)
You must make at least one selection.
Has the incident been reported to any other agency or official?(Required)
You must make at least one selection.
If so, to whom was it reported?
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Was medical attention sought as a result of the incident?(Required)
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Is the incident of a sexual nature?
You must make at least one selection.
If the incident is of sexual nature, please describe the offenses
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Suspect 1 Gender
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Suspect 1 Ethnicity
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Was suspect 1 under the influence of drugs or alcohol?
You must make at least one selection.
Suspect 1 Affiliation to UofL
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Suspect 1 Residence
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Suspect 2 Gender
You must make at least one selection.
Suspect 2 Ethnicity
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Suspect 2 Affiliation to UofL
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Suspect 2 Residence
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Services/Resources (In order to be contacted by any of the services/resources below, you will need to provide your name and contact information.) I would like to be contacted by:(Required)
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To be completed by UofL personnel only: Services/Referrals Provided(Required)
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Supporting Documentation

Please include any documentation that you have regarding this incident (photo, screen shot, etc) 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission