This form is for reporting acts of sexual misconduct, including sexual discrimination, harassment, non-consensual sexual intercourse and/or contact, exploitation, and interpersonal violence such as stalking, dating violence and/or domestic violence.

You may self-identify or report anonymously on this form. ICSW may have an obligation to act on a report even if you do not wish to proceed with a complaint or have action taken. If you identify yourself on this form, appropriate ICSW staff will contact you regarding your report.

Name
Name
Phone
Phone