Safety and Wellbeing Report an incident that someone has disclosed to you

Report an incident that someone has disclosed to you

Report an incident that someone has disclosed to you, (that is, you are a first responder). You should advise the person who has disclosed to you that you are providing a report. IMPORTANT! You must NOT provide any details that could identify the person unless you have their explicit consent to do so.

Optional, leave blank for anonymous reporting.
Your JCU affiliation
Type of Incident Please refer to the definitions provided here if needed.
Optional, only provide if you have explicit consent to do so from the person who disclosed to you
Is the person who has been subjected to sexual harassment or sexual assault a:
(up to 3,000 words)
(e.g: uni library/car park/lecture theatre; online; off-campus: workplace/bar/private residence)
(Time/ Date/ Other relevant details)
Who subjected the person to sexual harassment/sexual assault?
Optional, only provide if you have explicit consent to do so from the person who disclosed to you
(e.g: Residential Hall/College staff, Equity Contact Officer, JCU Security, JCU Counselling etc.)
Has the person subjected to sexual harassment/sexual assault taken any of the following actions? (Tick all that apply)
Would the person who disclosed to you like to be contacted by a Sexual Misconduct Officer for support/follow up?
(Phone, Email)
Would you like to be contacted by a Sexual Misconduct Officer for support/follow up?
(Phone, Email)
Optional, leave empty for anonymous reporting.