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This form is designed
to collect relevant information about sexual assault that affects members
of our community. It is an anonymous report form to be completed by any
individual who receives a report of a sexual assault. The location and
date of the assault are the coordinating pieces of information on this
form. A generic location description is acceptable (e.g. residence hall,
Busch Campus) rather then a specific hall and room number.
Filing out this form will not
result in an investigation. A person who has been assaulted may fill out
this form her/himself and send it to the Department of Sexual Assault
Services and Crime Victim Assistance, 3 Bartlett Street, College Avenue
Campus, (732) 932-1181, or may ask a third party (such as a friend,
counselor, etc.) to fill it out.
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