Anonymous Sexual Assault Report

This form is for reporting a sexual assault anonymously to the SUNY Fredonia's CEASE program. The information helps Fredonia better respond to victims of sexual assault. Filing this form will not result in an investigation. A person who has been assaulted may fill out this form himself or herself, or may ask a third party (such as a friend or a counselor) to do so.

















Thank You

Thank you for completing this form. If you need assistance please contact the CEASE Program - SUNY's Fredonia Violence Prevention - Victim Services Program. www.fredonia.edu/cease - Counseling Center - LoGrasso Hall - 716-673-3424 - Julie Bezek, CEASE Coordinator - julie.bezek@fredonia.edu

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