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Report & Review

Sexual Violence, Domestic Violence, Dating Violence, and Stalking

JARC is committed to maintaining a safe environment. This form provides initial information to assist in resolving alleged violations of JARC’s comprehensive policy and procedures addressing discrimination, sexual misconduct and retaliation. Click here to read JARC’s Comprehensive Policy on Sexual Violence.

Once you submit a report you will be contacted by a member of our staff if additional information is needed. Regardless of the nature of your report we will ensure that your information is routed accordingly.

The information you provide will be treated as sensitive and private, and will only be shared as needed to address the concerns raised. However, in some cases we may be required to take action based on the information you provide.

Note that this system is NOT a 911 or emergency service. Do not use this form to report events presenting an immediate threat to life or property. If you require emergency assistance, please dial 911.

ANONYMOUS REPORTING: Please note that reporting anonymously may limit JARC’s ability to thoroughly address the reported behavior.

Reporter Information

Name

Incident Classification

Type of Alleged Violation
Are you reporting for yourself or on behalf of someone else?

Involved Parties

Provide information for all individuals involved in the incident. Only include yourself if you are directly involved as an Affected Party, Respondent, or Witness. Fields can be left blank if information is unknown. Affected Party: Someone who experienced prohibited conduct. Respondent: Someone alleged to have engaged in prohibited conduct. Witness: Someone with relevant information about the incident. Other Named Person: Anyone else important to mention (e.g., parent, community member).
Name of Individual
Gender (optional)

Additional Involved Parties

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.
Acknowledgment / Consent
  • Contact information: HR@jane-addams.org
  • External partner link: https://www.ourresilience.org/
  • Privacy / data handling notice:
    Your information will be kept confidential and shared only with those who need it to respond. Anonymous reports are accepted but may limit our ability to investigate. Data is stored securely and used only to provide support and ensure safety.
  • Last Reviewed date: 10/21/2025