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Sexual Misconduct Report Form (Harassment, Assault, Dating/Domestic Vio, Stalking, or Exploitation)


For emergencies or if you seek immediate assistance, contact University Police at 414-229-9911 (or 9911 from a campus phone).
Reports are not actively monitored or reviewed on weekends or campus holidays.


UWM confidential reporting and assistance: UWM Victim/Survivor Advocate, 414-229-4582 and University Counseling Services, 414-229-4716.
Community confidential reporting and assistance: Aurora Healing and Advocacy Services, 414-219-5555 or Sojourner Family Peace Center, 414-933-2722.
Please visit UWM Title IX for additional information.

Use this form to report incidents of sexual harassment, sexual assault, domestic violence, dating violence, stalking, or sexual exploitation. State law requires faculty and staff to report any sexual assaults they are made aware of, regardless of the location, for statistical purposes. You may make an anonymous report, which means you inform someone that you have experienced sexual violence without identifying yourself or providing sufficient information to determine your identity. Please note, however, that UWM may be limited in its ability to investigate or respond to the incident if it does not have sufficient information from which to follow up on such a report. Every effort will be made to protect confidentiality, when possible, particularly where a safety concern exists.

Reports are typically reviewed within one (1) business day. Once the report is received, a University staff member initiates a preliminary investigation. Individuals identified in the report might be contacted to provide further information. If you have any questions regarding filing an incident report, please contact the Title IX Office, 414-229-7012 or titleix@uwm.edu.

Background Information

Filing this incident report constitutes official notice to the university, and the university may be obligated to take steps to address the concerns shared, which could include an investigation into the information and allegations contained within the report. Whenever reasonable and appropriate, the university will seek your input and attempt to notify you before taking these steps.

 
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Please explain your role (e.g., Person reporting a concern, Witness, Instructor, etc.)
Email address must be of a valid format.
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The person(s) accused of engaging in sexual misconduct
This field is required.
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If unknown, use an approximate date or dates
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(Please give address, room number, or other location details)

Involved Parties

Please list the individuals involved and include information in as many of the listed fields as you can provide. For students and employees, please use their university ID in the SID field if known. Use the first 9 digits on the ID card, DO NOT USE dashes or spaces, e.g. 999123456. For non-university individuals please use their driver license or state ID, if available.

Involved party 1

Questions


Please provide as much information and detail as possible. This will assist with investigation and follow-up and will help to eliminate duplicate reporting.

Incident Type (Check any that apply):(Required)
You must make at least one selection.
Aggrieved/Complainant and Alleged/Respondent Relationship:
This field is required.
Was alcohol involved?
You must make at least one selection.
Were drugs involved?
You must make at least one selection.
This field is required.
Was the incident reported to anyone else (housing, police, campus department, or medical entity)?(Required)
This field is required.
This field is required.
If you are the Aggrieved/Complainant, would you like this Incident Report to be shared with the UWM Police Department?
This field is required.

Supporting Documentation

If you have larger files to submit, please contact the Title IX Office at 414-229-7012 or title ix@uwm.edu. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission