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Proxy Report Form

Instructions: The form is intended to convey information which will be used to track RIT’s response to an incident being reported where the victim declines to report the incident to law enforcement, Public Safety, or a Title IX coordinator. Please do not promise confidentiality to the reporting person and you can say you will do the very best you can to respect their wishes.

Describe accused:
years
lbs
Did accused appear to use drugs or alcohol?