Safe Student Community

Report sexualized violence

Sexualized Violence Reporting Form

Please use this form only if you have experienced an incident of sexualized violence and you wish to report it to UFV. A report initiates a formal process under UFV’s Policy on Sexualized Violence.

If you do not wish to initiate a formal process or you haven’t decided, you may contact the office of the Director of Student Life and Development (if you are a student) or Human Rights and Conflict Resolution Office Services (if you are an employee) to learn more about your options, including how to access supports, services or accommodations.

This form is not to be used in an emergency or during an event(s) presenting an immediate threat to the health or safety of yourself or any campus member.  If you require emergency assistance, please call 911.  Students living in residence may also contact their front desk in an emergency (to be connected with the Residence Manager on-call).

Once you submit this form, it will be received and reviewed within 72 hours. You will be contacted directly to confirm the form’s information and to confirm the next steps.

The fields on this form are not mandatory. However, please be aware that if you do not provide a method for us to contact you (at question 4), UFV’s ability to respond and/or take further action will be limited.

Information provided on this form is administered and retained in accordance with UFV’s 236.

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