UNIVERSITY OF WISCONSIN-WHITEWATER SEXUAL ASSAULT INCIDENT MANDATED REPORTNG FORM Encourage the victim to seek help from the Sexual Assault Response Team, the University Health and Counseling Services or Office of Student Life. No report will be made to the police without the victim’s permission. A statistical report will be sent to the UW System office and the US Department of
Education indicating number of incidents; location category; degree of assaults; whether or not the perpetrator knew the victim, was a student or UW employee; whether the assaults were reported and the outcome; and number of alcohol/drug related cases.
If you have any questions about filling out this form call or E mail Mary Beth Mackin, Assistant Dean of Students, 472-1533. Name of person filling out form_________________________________Today’s date_ / /___
Please fill in as much information as you have.
VICTIM Age ________ Please check one: Gender ________ UW-Whitewater Student________ Year in School _______ UWW Employee ________
Not associated with the University__________ PERPETRATOR Age________ Please check one: Gender________ UW-Whitewater Student________ UWW Employee ________
Not associated with the University__________ ASSAULT Location of Assault _____________________________________________________ Degree of Assault (see back) 1st _____ 2nd _____ 3rd ______ 4th _____ Date of Assault _____________________ Time of Assault _____________________
Was a weapon used?_______ If so, what kind? ______________________________________ Relationship of perpetrator to victim _______________________________________ Were alcohol or other drugs used by the victim? ______ Were alcohol or other drugs used by the perpetrator? ______ Was the assault reported to police or was police investigation requested? _____ Was the assault reported to or was university disciplinary investigation requested? ________ Were counseling services utilized or requested? ________
Please send report form to: Mary Beth Mackin, Assistant Dean of Students Office of Student Life, UC 253
“Any person employed at an (UW) institution...who witnesses a sexual assault on campus or receives a report from a student enrolled in the institution ...that the student has been sexually assaulted shall report to the dean of students of the institution.” Section 36.11(22)(2)(c), Wisconsin Statutes. According to UW System this is limited to assaults that occurred in the current or previous calendar year.
“20 U.S.C. § 1092(f) (1) Each eligible institution…shall begin to collect the following information… (F)… the occurrence on campus, in or on noncampus buildings or property, and on public property during the most recent calendar year, and during the 2 preceding calendar years for which data are available--(i) of the following criminal offenses reported to campus security authorities or local police agencies:…(II) sex offenses, forcible or nonforcible;…”
Sexual Assault Laws of Wisconsin Sexual Assault: Section 940.225 of the Wisconsin Statues created four degrees of sexual assault. The degrees are based upon the amount of force used by the perpetrator, and the harm done to the victim. Section 948.02 regards age of the victim. First, second and third degree sexual assaults are felonies; fourth degree sexual assault is a misdemeanor. First Degree Sexual Assault: A person can be imprisoned not more than 60 years for committing first degree sexual assault. This includes: ..sexual intercourse or sexual contact without consent which inflicts great bodily harm or pregnancy, or ..sexual intercourse or sexual contact without consent accomplished by using or threatening to use a dangerous weapon, or ..sexual intercourse or sexual contact without consent while aided by one or more persons by use or threat of force or violence, (s.940.225) or ..sexual intercourse or sexual contact, with or without consent, with a person under the age of 13. (s.948.02) Second Degree Sexual Assault: A person can be imprisoned not more than 40 years and/or fined not more than $100,000 for committing second degree sexual assault. This includes: ..sexual intercourse or sexual contact without consent through the use or threat of violence, or ..sexual intercourse or sexual contact without consent which causes injury, including illness, disease or impairment of a sexual or reproductive organ, or mental anguish requiring psychiatric care, or ..sexual intercourse or sexual contact with a person known by the perpetrator to be unconscious or mentally ill or mentally deficient or under the influence of an intoxicant to a degree which renders that person incapable of appraising the person’s conduct, or ..sexual intercourse or sexual contact without consent while aided by one or more persons, (s.940.225), or ..sexual intercourse or sexual contact, with or without consent, with a person under the age of 16 years. (s.948.02) Third Degree Sexual Assault: A person can be imprisoned not more than 10 years or fined not more than $25,000 for committing third degree sexual assault. This includes: ..sexual intercourse with a person without consent of that person, or ..sexual contact with intentional penile ejaculation with a person without consent of that person. (s.940.225) Fourth Degree Sexual Assault: A person can be imprisoned not more than 9 months in the county jail and or fined not more than $10,000 for committing fourth degree sexual assault. This includes: ..sexual contact with a person without consent of that person, (s.940.225), or ..sexual intercourse, with or without consent, with a person 16 or 17 years old. (s.948.09) Consent: The law defines the word consent as words or overt actions by a person who is competent to give consent indicating a freely given agreement to have sexual intercourse or sexual contact. Sexual Assault Response Team, 472-1060; University Health and Counseling Services, 472-1300 University Police 472-4660; Whitewater Police 473-0555 Rev. 1/05