Sexual Violence Anonymous Reporting Form

This form should be used by members of the Occidental College community who have experienced or have been witness to sexual violence (sexual assault, rape or sexual battery). The information will be used to identify and address troubling trends. If a perpetrator is named, a member of the Dean of Students Office will meet with that person to share that the person was named in an anonymous report, review the Sexual Misconduct Policy, and inform the person that if the allegations are true, the behavior needs to cease immediately. Information shared in this form alone will not result in anyone going through the grievance process. In compliance with the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act (Clery Act) (20 U.S.C. section 1092), information submitted via this form reflecting a reportable crime, as defined by the Clery Act, will be included in the Campus Safety Daily Crime Log. No names are included in the Daily Crime Log. If you are a survivor of sexual violence, there is HELP AVAILABLE: FOR MEDICAL AND PSYCHOLOGICAL HELP The Rape Treatment Center - Santa Monica - UCLA Medical Center is a free resource providing many excellent services. The Rape Treatment Center 1225 Fifteenth Street Santa Monica, CA 90404 (310)-319-4000 dial option 0 If you would like to seek support of a student advocate or need help finding resources on or off campus: Project SAFE (323)-341-4750 If you want to confidentially talk to someone on campus contact: Emmons Health Center at (323)-259-2657, or, The Office for Religious & Spiritual Life at (323)-259-2621 If you want to confidentially talk to someone off campus contact: National Rape Crisis Center Hotline (800) 656-HOPE If you would like to pursue conduct action contact: The Dean of Students Office at (323)-259-2969 To review the Sexual-Misconduct Policy

Survivor Information

Perpetrator Information

Person Reporting Information

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