Online Incident Report Form

This online form can be used by UniSA students and staff to report an incident of sexual assault or harassment and by someone who has witnessed an incident or is a support person for someone who has experienced sexual assault or sexual harassment.   It is important to note that, if you are reporting on behalf of another person, you must have their consent before you do so.

All complaints of sexual assault and sexual harassment are directed to the Executive Director: People, Talent and Culture and/or the Pro Vice Chancellor: Student Engagement and Equity, depending on whether the incident relates to a student, a staff member, or a visitor on campus.

Please refer to the FAQs for reporting an incident online, for more information about the process for reporting an incident online to UniSA. 


 

COMPLAINT DETAILS








PERSONAL DETAILS

 

You do not have to reveal your name in order to make a report. However, if you identify yourself and there is a very serious risk of harm to you or another person and/or the University is required by law, your identity may have to be disclosed.

 

This would only happen in exceptional circumstances and the University would try and let you know before that step was taken.

 


Please note: if you are under the age of 18 and report a sexual assault, the University of South Australia is legally obliged to report the matter to the Child Abuse Report Line.

 

 

COMPLAINT DETAILS








PERSONAL DETAILS

 

You do not have to reveal your name in order to make a report. However, if you identify yourself and there is a very serious risk of harm to you or another person and/or the University is required by law, your identity may have to be disclosed.

 

This would only happen in exceptional circumstances and the University would try and let you know before that step was taken.

 


Please note: if you are under the age of 18 and report a sexual assault, the University of South Australia is legally obliged to report the matter to the Child Abuse Report Line.

 

 

COMPLAINT DETAILS








PERSONAL DETAILS

 

You do not have to reveal your name in order to make a report. However, if you identify yourself and there is a very serious risk of harm to you or another person and/or the University is required by law, your identity may have to be disclosed.

 

This would only happen in exceptional circumstances and the University would try and let you know before that step was taken.

 


Please note: if you are under the age of 18 and report a sexual assault, the University of South Australia is legally obliged to report the matter to the Child Abuse Report Line.

 

 

COMPLAINT DETAILS








PERSONAL DETAILS

 

You do not have to reveal your name in order to make a report. However, if you identify yourself and there is a very serious risk of harm to you or another person and/or the University is required by law, your identity may have to be disclosed.

 

This would only happen in exceptional circumstances and the University would try and let you know before that step was taken.

 


Please note: if you are under the age of 18 and report a sexual assault, the University of South Australia is legally obliged to report the matter to the Child Abuse Report Line.

 

 

FIRST RESPONDER DETAILS

 


COMPLAINT DETAILS

 





Please tick to confirm that you have provided the following information to the complainant:




PERSONAL DETAILS OF THE COMPLAINANT

It is important to note that, if you are reporting on behalf of another person, you must have their consent before you do so.



 

 

COMPLAINT DETAILS





Where did the incident take place?




PERSONAL DETAILS

 

You do not have to reveal your name in order to make a report. However, if you identify yourself and there is a very serious risk of harm to you or another person and/or the University is required by law, your identity may have to be disclosed.

 

This would only happen in exceptional circumstances and the University would try and let you know before that step was taken.

 


It is important to note that, if you are reporting on behalf of another person, you must have their consent before you do so.