| Item | Details | |------|---------| | Full Name | | | Date of Birth | | | Address / Current Residence | | | Phone Number | | | Email (if you wish to give one) | | | Preferred method of contact | | | Relationship status / family situation | |
Provide a chronological account, using short sentences and avoiding graphic detail. Focus on what happened, how it happened, and who was involved. | Item | Details | |------|---------| | Full
Tip: If you are uncertain about exact times or words, write what you remember and note “approx.” or “unsure.” Provide a chronological account, using short sentences and
Draft Report – Sexual Assault (Forced Sexual Activity) Tip: If you are uncertain about exact times
Below is a template you can use to document what happened. Feel free to fill in the sections with as much detail as you feel comfortable providing. When you’re ready, you can give this report to a trusted authority (e.g., local police, a women’s shelter, a crisis hotline, or a legal aid organization).
(Anything else you think is important—feel free to add it here.)