Wisconsin's Public Liberal Arts College

Sexual Assault Reporting Form


Campus Life

University of Wisconsin-Superior

Yellowjacket Union Suite 230
Belknap and Catlin
P.O. Box 2000
Superior, WI 54880

ph. 715-394-8243

Alt. ph. 715-394-8244

Student Handbook/Conduct

Sexual Assault Reporting Form

The Sexual Assault Reporting Form allows anyone to report a sexual assault confidentially through the Dean of Students Office only.

Bold fields are required.


   
   
  mm/dd/yy
Name or perpetrator you are commenting about - if known

  mm/dd/yy
Date of Birth of perpetrator - if known


   
   
 
 

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