Sexualized violence disclosure form
Please use this form if you have experienced sexualized violence and you would like to get support. This form will ask for your name and preferred method of contact.
Disclosing refers to someone telling another person about their experience with sexualized violence.
Reporting means putting in a formal complaint against another person after an incident of sexualized violence.
Read UFV’s Prevention, Education, and Response to Sexualized Violence - Policy 236 for more information on its scope.
What happens after I disclose?
- A Student Support Coordinator will reach out to you within three business days.
- The Support Coordinator will inform you about all the reporting options and processes that you can choose from.
- The Student Support Coordinators can help connect you with resources and supports on and off campus. Learn more about Student Support Coordinators »
- By using this form, you are not submitting a report, and therefore not starting a formal process under UFV’s policy on Sexualized Violence, however the Support Coordinator will provide options for you to consider.
If you are ready to submit a formal report
If you do not wish to connect to a Specialist or Support Coordinator at this time and are ready to make a formal report under this policy, please use the Incident Reporting form.
If you require emergency assistance, please call 911. The Disclose sexualized violence 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.
Students living in student housing may also contact Campus Security in an emergency (to be connected with the Residence Manager on-call).