Sexual Violence Anonymous Reporting Form

Confidential Reporting Form

If you know of a crime that has occurred on campus we would like you to report it.

This system is monitored Monday through Friday from 8:30 a.m. to 4:30 p.m.

For immediate service, call (203) 254-4090 or ext. 4090 - all phone calls can remain anonymous.

All information is kept confidential unless you indicate otherwise.

Fields marked with an asterisk (*) must be completed.

* Describe the nature of the crime:

* Where did the crime occur:

Enter the dates and times associated with this crime:

* Dates:


* Times:

Suspect's Name(s):

If unknown, provide a detailed description:

Would you like us to contact you? If so, please provide your necessary contact information:

Contact info:

Your Name: