PREA Reporting Form

If you were the victim of a sexual assault while in the custody of any law enforcement agency or correctional facility — or if you know of an incident of sexual assault of a person in the custody of any law enforcement agency or correctional facility — we urge you to report the incident by using the e-mail form below. You may make reports in confidence or anonymously. If you fail to report an incident, you could be found to have acted with deliberate indifference towards the victim’s health and/or safety.

We will take all reports seriously. All reported incidents will be investigated. You will be contacted, but you may still remain anonymous. However, if a false report is made, you may be charged criminally.

This form is to be used ONLY to report sexual assaults while in custody of any law enforcement agency, and is not to report other crimes. To report other crimes please call 911.

"*" indicates required fields

Name*

First Middle Last

Address*

Street Address City State ZIP Code

Primary Phone*

Secondary Phone

Email*

Incident (please be specific)*

Who was the victim?*

How can we contact the victim?*

Who was the suspect?*

Where can we contact the suspect?*

When & where did the incident take place?*

Name

This field is for validation purposes and should be left unchanged.

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