Public Safety

Anonymous Sexual Assault Report

This form is for reporting a sexual assault anonymously to NCCC. The information helps NCCC better respond to victims of sexual assault. Filing this form will not result in an investigation. A person who has been assaulted may fill out this form himself or herself, or may ask a third party (such as a friend or a counselor) to do so.
  • MM slash DD slash YYYY
  • :
    Check all that apply (includes penetration by penis, finger, or object).
    (Check all that apply.)
    (Check all that apply.)
    (If known)
    (Check all that apply.)
  • Thank You Thank you for completing this form. If you need assistance please contact the NCCC Campus Security Department, Wellness Center, or the YWCA Rape Crisis/Domestic Violence Hotline.

Contact

Public Safety
Phone: Call ext. 555 or 716-614-6400 from on-campus Sanborn phones or ext. 2555 from NFCI phones.
Note: Public Safety Can be reached from the ‘blue’ phones on the Sanborn Campus by lifting receiver.
Location: G-106 (Sanborn Campus),  Reception (Niagara Falls Culinary Institute)