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Sexual Misconduct Incident Reporting Form


This form is used to report incidents of sexual violence and sex- and gender-based harassment prohibited by the University of Richmond’s Sexual Misconduct Policy. Sharing this information allows us to respond in an effort to stop such misconduct, eliminate any hostile environment, take reasonable steps to prevent a recurrence of such misconduct, and address any effect that such misconduct may have on the larger University community.

Responsible Employees are legally required to report all known information as soon as possible. In addition, the University expects all employees with knowledge of an incident to report it immediately.

Students have the option to share information anonymously. However, the Title IX Coordinator will be better able to assess and respond to complete reports.

For information about confidential resources, please click here.

More information about the University’s response to reports, reporting options, and support resources can be found in the Sexual Misconduct Policy or by contacting the Deputy Title IX Coordinator, Tracy Cassalia, at 804-289-8464.

Reporter Information

 
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Involved Persons

Please share as much information as you know about the individuals involved (excluding yourself). Click here for more information about the University’s response to reports, including confidentiality and privacy concerns.

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Description/Narrative

Use the following prompts to share your knowledge of the incident. The fields are open-ended text fields to allow for descriptions such as "two days before Spring Beak 2014", "the sun was already up", or "near the lake" instead of an exact date, time, or location. It is okay if you do not know or do not remember all details; share as much as you know or can remember.

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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Are you a Campus Security Authority?

A Campus Security Authority is defined as: "an official of an institution who has a significant responsibility for student and campus activities, including, but not limited to, student housing, student discipline, and campus judicial proceedings."
A Campus Security Authority is defined as: "an official of an institution who has a significant responsibility for student and campus activities, including, but not limited to, student housing, student discipline, and campus judicial proceedings."

Submission