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). Information given in this form will be used for Clery Act information only and will be kept confidential.

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 projectsafe@oxy.edu (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 deanofstudents@oxy.edu (323)-259-2969

To review the Sexual-Misconduct Policy
http://www.oxy.edu/student-handbook/general-college-policies/sexual-misconduct-policy-students

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    Survivor Information

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    Perpetrator Information

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    Person Reporting Information

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