Sexual Assault or Harassment Report Form

Sexual harassment can be a single incident or a persistent pattern, and can range from subtle behaviour to explicit demands for sexual activity, including but not limited to the following examples:
  • sexually suggestive comments or jokes
  • staring or leering at a person or at parts of their body
  • unwelcome physical contact such as brushing against or touching a person
  • comments and questions about another person’s sexual conduct and/or private relationships
  • persistent unwelcome invitations
  • requests for sexual favours
  • offensive written, telephone or email communication of a sexual nature
  • displays of sexually specific material
  • accessing sexually explicit internet sites
  • negative behaviours, such as intimidation or exclusions relating to the sex of a person
  • unnecessary close physical proximity including persistently following a person
I wish to remain anonymous: *
Is your complaint related to the actions of *
Is the affected person *
Has the incident been reported to the police? *
I want to:
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How may we contact you? *