Sexual Misconduct & Inappropriate Behaviour Online Reporting Form

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University of Sydney Student Wellbeing

Sexual Misconduct & Inappropriate Behaviour Online Reporting Form

Your safety and wellbeing are our number one priority. If you are at risk of being harmed by someone else or at risk of harming yourself, please call Emergency Services on 000 or Campus Security on +61 2 9351 3333 immediately.

The University acknowledges that for most people submitting a report of sexual misconduct or inappropriate behaviour can be a confronting experience. The Safer Communities Office staff are available 9am to 5pm Monday to Friday, Sydney local time. You can speak with a team member or make an appointment on the phone +61 2 8627 6808 or email safer-communities.officer@sydney.edu.au.
Please contact 1800 RESPECT for counselling support after hours. 1800RESPECT is available for free, 24 hours a day, 7 days a week to support people impacted by domestic, family or sexual violence. The University has a mental wellbeing support line, if you’re in Australia, you can contact the support line by calling 1300 474 065 or by texting 0488 884 429 outside of office hours (5 pm to 9 am weekdays, 24/7 weekends and public holidays).

The University of Sydney's Safer Communities Office and Student Wellbeing will use the information you provide on this form to understand your needs, to provide you with care and support if you would like this, and wherever possible, respond to the incident you are reporting. For more information about how your personal information will be managed by the Safer Communities team, please see our full privacy collection notice.

** Which of the following describes what you want to report?
Sexual Assault
Sexual Harassment (including online harassment)
Domestic/ Family Violence
Bullying
Harassment (excluding sexual harassment)
Discrimination
Racism
Modern Slavery (e.g., labour exploitation, forced marriage, human trafficking)
Other

** Please provide:

** What type of report do you wish to make?
A complaint (Your contact details are required if you would like to lodge a complaint to the University. If you do not provide details, the University will treat the report as an anonymous disclosure)
A disclosure ( If you would like the Safer Communities Office to contact you for support, your contact details are required. If you do not provide details, the University will treat the report as an anonymous disclosure)

You can make a complaint of sexual misconduct, including sexual assault or sexual harassment, if you would like the University to investigate or to take specific action in response to something that you have experienced. You must not make a complaint on behalf of someone else (unless you are a Safer Communities staff member, Student Affairs Officer). If you want to report something that someone else has experienced, you must make a disclosure.

You can make a disclosure (rather than a complaint) if you would like to make the University aware of an incident, but do not wish the University to investigate or to take any specific action in response to the incident. We understand that this can be a difficult time, so this is a way to report something that's happened and find out your options for support. If you make disclosure, you can still choose to make a complaint to the University about the same incident at a later time. If you want to report something that someone else has experienced, you must make a disclosure rather than a complaint. Where possible, you should seek permission from the affected person to make the disclosure.

I wish to remain anonymous (not provide my name or contact details).

A report is anonymous when it does not include the name or contact details of the person who submitted the report. Please note that if you choose to make an anonymous report, the University will be limited in the follow-up action that it can take. The University will also be unable to contact you about available support or to provide updates. If you submit your report anonymously, you will be making a disclosure. In the future, you may choose to provide more details and submit a complaint by selecting Make a report with contact details.

My Name:

** My Name:

My phone number (+61):

** My phone number (+61):

My e-mail address:

** My e-mail address:

My unikey:

Please provide your preferred contact method:
Phone
E-mail

** Are you reporting something that you experienced, or someone else has experienced?
My experience
Someone else's experience

Their Name:

Their phone number (+61):

** Please note, you can only submit a complaint about your own experience, unless you are a staff member from the Safer Communities Office or Human Resources.
Yes- This is about my own experience.
Yes- I am a staff member from the Safer Communities Office or Human Resources.

The following questions will help us direct the most appropriate support to the person affected.

** How old is the person affected?
Under 18
18 and above
Don't know

In certain circumstances we are required by law to report incidents involving children and young people to the NSW Department of Communities and Justice. For further information on this mandatory reporting requirement, please see: Reporting and responding to child wellbeing and safety concerns | Family & Community Services (nsw.gov.au)

** If you are reporting something that someone else has experienced, please select if you have permission to share the details of the affected person.

First name of the affected person:

Last name of the affected person:

Contact number of the affected person:

Contact email of the affected person:

** Are there multiple incidents?
Yes No

Date of the incident or most recent incident?

A reminder: forensic medical examinations for evidence collection can be undertaken up to five days after an incident of sexual assault.
Your local sexual assault service is available 24/7 and can be contacted here

I wish to provide more information about the person responsible: (You can provide their full name and any other information that may help to identify person responsible)

How can the University best support you at this time?

** Please add any other information in regards to any action or support that you would like the University to provide. It's okay if you aren't sure what you want to happen. Staff from the Safer Communities Office can discuss your options with you. Please note that if you choose to make an anonymous report, the University will be limited in the follow-up action that it can take. The University will also be unable to contact you about available support or to provide updates.

Click here if you would like to provide more details of the incident(s) that you are reporting.

Where did this happen?
Teaching/ study activities (e.g., Lectures, tutorials, staff member office, seminars, labs)
Accommodation (e.g., student accommodation -University-owned, affiliated and residential colleges) 
University organised placement, work experience or internship 
General campus area (e.g., libraries, outdoors on campus, employment on campus)
Activities and events related to Networks and student representative councils and clubs and societies e.g., USU and SUSF 
Study Abroad, exchange 
Online University related spaced (e.g. Email, Canvas) 
Unknown
Other

Description of what happened: (You may provide details of the incident(s) you wish to report)

Privacy collection notice

The University of Sydney's Safer Communities Office and Student Wellbeing will use the information you provide on this form to understand your needs, to provide you with care and support if you would like this, and wherever possible, respond to the incident you are reporting.

We will not disclose the personal information you provide to anybody else, unless you have given consent, or unless we are authorised or required to do so by law.

Any personal information you give us will be highly protected and kept in accordance with our Privacy Policy 2017.

If you choose to submit an anonymous report, we will respect your privacy and will have no means to reidentify you.
To help us to identify trends and develop targeted responses to sexual misconduct in the University community, strictly de-identified information about the incident you are reporting may be used in analysis and reporting.

If you have questions or concerns about this form, please contact the Safer Communities Office on +61 2 8627 6808 or at safer-communities.officer@sydney.edu.au.

Thank you for taking the time to complete this. You have reached the end of this form. You can click on the Submit button, your form will be submitted to the Safer Communities Office who will contact you within 2 business days.

To amend or withdraw your disclosure after it has been submitted, please contact the Safer Communities Office.