Sexual Assault Reporting

Sexual Assault Reporting

 Federal and state laws require faculty and staff to report any sexual assaults they are made aware of, regardless of the location.  To report a sexual assault to the Dean of Students office (Hyer 200), complete the online form below and hit “Submit Form”.

SEXUAL ASSAULT REPORTING FORM

UNIVERSITY OF WISCONSIN-WHITEWATER
DEAN OF STUDENTS OFFICE

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

Victim Name:

Phone #:

Campus email:

Date of assault: Time of assault:

Location of assault: (example: Winther Hall parking lot, Res Hall, UC, etc.)

On-campus

Off-campus, in City of Whitewater

Other (Off-campus, outside City of Whitewater)

Contiguous Public Property (such as streets, sidewalks, etc. adjacent to University property)

Relationship of victim to offender:

acquaintance*

not an acquaintance

unknown
*an acquaintance is someone the victim would define as “not a stranger"


Please check all that apply (as of today’s date)

Victim: Gender: Age:

UWW Student   UWW Employee   Student at other UW Institution    Nonstudent

Offender: Gender: Age:

UWW Student   UWW Employee   Student at other UW Institution    Nonstudent    Unknown


Was alcohol and/or other substance involved?

Victim: Yes   List substance: No   Unknown

Was alcohol and/or other substance involved?

Offender: Yes   List substance: No   Unknown

If weapon involved, type of weapon:

If injury sustained, type of injury:

Did victim receive medical care? Yes No Location:



Sexual Assault: Section 940.225 of the Wisconsin Statutes creates four degrees of sexual assault. The degrees are based upon the amount of force used by the assailant and the harm done to the victim. First, second and third degree sexual assaults are felonies; fourth degree sexual assault is a misdemeanor.

Degree of Sexual Assault Committed (PLEASE SELECT ONE)

First degree sexual assault includes:
Sexual intercourse or sexual contact without consent which causes pregnancy or inflicts great bodily harm, or sexual intercourse or sexual contact without consent accomplished by using or threatening to use a dangerous weapon, or sexual intercourse or sexual contact without consent while aided by one or more persons.

A person can be imprisoned not more than twenty years for committing first degree sexual assault.

Second degree sexual assault includes:
Sexual intercourse or sexual contact without consent through the use or threat of violence, or sexual intercourse or sexual contact without consent which causes injury, including illness, disease, or impairment of a sexual or reproductive organ, or mental anguish requiring psychiatric care, or sexual intercourse or sexual contact with a person known by the perpetrator to be unconscious or mentally ill or mentally deficient. Sexual contact or sexual intercourse with a person who is under the influence of an intoxicant to a degree which renders that person incapable of giving consent if the defendant has actual knowledge that the person is incapable of giving consent and the defendant has the purpose to have sexual contact or sexual intercourse with the person while the person is incapable of giving consent.

A person can be imprisoned not more than ten years and/or fined not more than $10,000 for committing second degree sexual assault.

Third degree sexual assault includes:
Having sexual intercourse with a person without that person’s consent

The penalty for third degree sexual assault is imprisonment for not more than five years and/or a fine of not more than $10,000.

Fourth degree sexual assault includes:
Having sexual contact with a person without that person’s consent. Sexual contact means any of the following: Intentional touching, by the complainant or defendant, either directly or through clothing by the use of any body part or object, of the complainant’s or defendant’s intimate parts if that intentional touching is either for the purpose of sexually degrading or humiliating the complainant, or sexually arousing or gratifying the defendant.

The penalty for fourth degree sexual assault is imprisonment for not more than nine months in the county jail and/or a fine of not more than $10,000.

Degree unknown

Assault was reported to: UWW Police Services   Local Law Enforcement   Dean of Students Office

Victim has been informed of support services and of their rights: Yes   No
Please visit http://www.uww.edu/sexual-misconduct-information for more information.

Victim wishes to speak with a counselor: Yes   No
Please call Counseling Services (262) 472-1305 for more information or to schedule an appointment.

Victim wishes to initiate or has already initiated:

no official action

law enforcement investigation/criminal action

university investigation/disciplinary action


Person completing form: Date:

 

Location

University of Wisconsin-Whitewater
800 West Main Street
Whitewater, WI 53190-1790

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Directory Assistance: (262) 472-1234
TSC Helpdesk: (262) 472-4357
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