Alvis | Sexual Abuse Report

Note

Note: To file an allegation of sexual abuse or sexual assault, complete the form below or contact the Alvis PREA Coordinator at (614) 388-9903 or Toll-Free at (844) 241-2773.

Please use these contact methods to report abuse or assault only. For other questions or concerns, use our general contact form.

Your Information

Your first name

Your last name

Use this form to report allegations related to

Resident Sexual Abuse
Resident Sexual Assault

STEP 1: Identify the Parties Involved

Describe the nature of the allegation

Staff against resident
Resident against resident (non-consensual)

STEP 2: Explain What Happened

Name(s) of alleged victim(s)

Name of first staff person to the scene or who received the report

Name(s) of alleged aggressor(s)

Where did the alleged sexual abuse occur?

Additional known details

How did you hear about the allegation?

Resident reported it to me
Staff reported it to me
Third party

If a third-party reported the allegation, provide their full name:

Was this reported as:

An isolated incident/violation
Repeated, unwelcome behavior

If sexual abuse has occurred repeatedly, list date(s)/time(s), and location of other such incidents, if known.

STEP 3: Resident Rights; Third-Party Reporting

Rights

Resident victims of sexual abuse have the right to choose to utilize community-based sources to serve as an advocate, and/or provide desired assistance (e.g., mental health, sexual victimization. View available community-based options (115.251; 115.254).

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File a sexual abuse report

Phone

Fax