Portland State University Sexual Assault Anonymous Report Form

Portland State University strongly encourage all survivors of sexual assault to access any or all of the resources listed on our sexual assault website: www.pdx.edu/sexual-assault.

This form is anonymous and confidential. The form will be sent to PSU’s Campus Public Safety Office. Completing this form does NOT constitute a police report or a student conduct report. The information on this form will be used on the PSU’s annual Campus Security Report submitted to the Department of Education in compliance with the Clery Act.

Anonymous reports are used to gathering and record information regarding the incidence of sexual assault on and around our campus, tracking incidents of sexual assault on campus, and informing the community about the campus climate.

PSU students have several reporting options available to them to report sexual assault or other sex offenses. These options are available any time, and can be pursued individually or simultaneously. An Interpersonal Violence (IPV) Advocate can help talk through your options and can accompany you through the process of accessing any of these reporting services:

- Interpersonal Violence Advocate (503) 725-5672
- Campus Public Safety (503) 725-4404
- Portland Police Bureau 9-1-1 or (503) 823-3333
- Dean of Student Life: Student Code of Conduct Complaint (503) 725-4422
- Office of Equity and Compliance (503) 725-5919
- Title IX Coordinator (503) 725-5919

If you have any questions about this form please call the IPV Advocate at 503-725-5672.

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    Questions about the Assault

    Report what happened, so that the incident can be counted geographically correct, and to avoid double counting.
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    Please pick at least one offense for the reported assault.
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    For additional assistance, please contact the PSU Interpersonal Violence Advocate (503) 725-5672. The IPV Advocate serves students of all genders.