* denotes a mandatory field.
If you can’t remember the exact details, please include as much information as possible in the free-text field below, e.g. weekday/weekend, day/night, semester/non-semester
Please select the relevant options from the dropdown fields opposite and/or provide further details in the free-text field, e.g. if you can't recall, just include details you recall such as general location, type of room, adjacent areas
I am a ...
You should only provide details that you feel comfortable including in the form. All incidents will have a follow up process - you can provide further details then to help the University to work out the best process. In serious matters, an interview will usually be offered to all persons concerned
|What is your involvement in the incident/concern?|
You can include anyone who was or may have been involved in the incident or who witnessed the incident.
Any information you can provide will be helpful, e.g. name, gender, physical description, how you know them (if you do)
Please describe any evidence that exists or may exist in relation to the incident/your concerns. Do not be worried if you do not have any. Your account of the matter will be considered and sometimes, in interview, people identify evidence that may be able to be found. You should consider preserving physical or electronic evidence and if you are not sure what this is or how to preserve it, you can call UWA Security or the Police for advice. Documentary evidence can be uploaded in the fields below, too
A variety of formats can be uploaded. However, if you do experience any problems, you can submit evidence later or e-mail it to: [email protected]