Sexual Misconduct & Harassment Reporting Form for Staff


Before completing this form, please read the guidance notes about the form and what will happen after you submit your report.
Guidance Notes

Your reporting options

Your Contact Information

Details in this section may be left blank if you are making an anonymous report.

Details of the person(s) you are reporting, and their department if known

Details of the incident

Please be aware that, with your consent, the information you provide relating to the incident will be shared with the person(s) you have reported when informing them of the allegations. Include as much or as little detail as you wish, there will be other opportunities for you to provide further information.

Supporting Documentation

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Outcome

Consent

In order to process the information provided in this form and to respond appropriately where necessary, your consent is required.

I consent to the information I have submitted in this form being processed, stored and confidentially shared by the University for the purposes of investigating the reported incident and/or to provide me with appropriate advice and support, where I have requested this.

I understand that details of the incident provided in this form, including any relevant supporting documentation, may be shared with the person(s) identified within this form who I am reporting.
I also understand that the University may confidentially share information regarding the incident to third parties (e.g. Police) where required to do so. *(You will always be made aware and your consent sought where there is a need to share personal or sensitive information relating to this report).