UCO Sexual Assault
Anonymous Reporting Form
Using this form, student victims/survivors of sexual assault may file an anonymous report with the Office of Student Conduct, whether or not the victim of a sexual assault decides to file disciplinary and/or legal charges against the offender at a later date. There is not a statute of limitations on filing complaints within the Office of Student Conduct. If you later decide to file disciplinary and/or legal charges, you may initiate this process by contacting the Office of Student Conduct at (405) 974-2361 or UCO Police Services at (405) 974-2345. For more information, refer to the UCO Code of Student Conduct, Section IV. E. 7-8.
To keep information anonymous, do NOT include names of victims or perpetrators. If names are included, this is no longer considered an anonymous report and an investigation may be conducted by UCO Police Services and the Office of Student Conduct, respectively.
Please select the appropriate answer to each question. Then, follow the directions at the end of this form.
If you would like to include any documents or images related to your complaint, please send those to: firstname.lastname@example.org.
I. Information on the Victim/Survivor
II. Information on the Assault
Presence of Weapon
Threat of Death
Date Rape Drug
| Sexual Assault (Verbal)|
Sexual Assault (Physical)
Completed Rape (Vaginal)
Completed Rape (Oral)
Completed Rape (Anal)
Was the person who was assaulted under the influence of alcohol and/or drugs at the time of assault?
If YES, did he or she feel pressured to consume or use?
If yes, then please identify the source of the pressure. (Check all that apply)
| The Offender(s)|
3rd Party Vendor
III. Information on the Offender(s)
Sex of Offender(s): (Check all that apply)
Male and Female
Estimated Age of Offender at Time of Assault
If Multiple Offender(s): (Check all that apply)
Relationship of Offender(s) to the person assaulted: (Check all that apply)
Met same day, socially
Met same day, non-socially
Was Offender(s) under the influence of alcohol and/or drugs at time of assault?
IV. Plans for Follow-Up Actions
Does the assaulted person plan to seek legal or disciplinary action against the offender(s)? If "Yes," through what agency?
Has the assaulted person been advised of University Health Services and / or Local Hospitals, the Student Counseling Center, the Violence Prevention Project (VPP) Office, the Office of Student Conduct, academic options for the semester, and/or temporary residential options through Housing and Dining Services?
Has the assaulted person utilized any of the following resources: University Health Services and / or Local Hospitals, the Student Counseling Center, the Violence Prevention Project (VPP) Office, the Office of Student Conduct, Academic Advisement, and/or temporary residential options through Housing and Dining Services?