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.

SUPPORTING DOCUMENTS

If you would like to include any documents or images related to your complaint, please send those to: studentconduct@uco.edu.


 

 
I.    Information on the Victim/Survivor
 
II.  Information on the Assault
  Verbal
  Physical
  Abduction
  Presence of Weapon
  Threat of Death
  Date Rape Drug
  Other
  Sexual Assault (Verbal)
  Sexual Assault (Physical)
  Attempted Rape
  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)
  Friend(s)
  Organization
  3rd Party Vendor
  Other Entity
 
III.       Information on the Offender(s)

Sex of Offender(s): (Check all that apply)

  Male
  Female
  Multiple Males
  Multiple Females
  Male and Female

Estimated Age of Offender at Time of Assault

If Multiple Offender(s): (Check all that apply)

  13-17
  18-20
  21-25
  26-30
  31-40
  40+
  Unknown

Relationship of Offender(s) to the person assaulted: (Check all that apply)

  Partner/Lover
  Acquaintance
  Ex-Partner/Ex-Lover
  Spouse
  Met same day, socially
  Met same day, non-socially
  Stranger
  Student
  Colleague/Co-Worker
  Faculty/Teaching Assistan
  Staff
  Other
  Unknown

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?