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2. Prison Rape Elimination Act (PREA) Incident Reporting Form
   The Prison Rape Elimination Act of 2003 was enacted by Congress to address the problem of sexual abuse of persons in the custody of U.S. correctional agencies. The Act applies to all public and private institutions that house adult or juvenile offenders and is also relevant to community-based agencies. It addresses both inmate-on-inmate sexual abuse and staff sexual misconduct.
4. FILING A REPORT:
   The Douglas County Sheriff's Office has zero tolerance toward all forms of sexual abuse and sexual harassment. The agency will not tolerate retaliation against any person who reports sexual abuse or sexual harassment or who cooperates with a sexual abuse or sexual harassment investigation. If you were the victim of a sexual assault while in the custody of any law enforcement agency or correctional facility, or if you know of an incident of sexual assault of a person in the custody of any law enforcement agency or correctional facility, you may report the incident by completing the Prison Rape Elimination Act form (PDF).
6. ANONYMOUS REPORTS:
   Anonymous reports will be accepted and investigated, however, the Sheriff's Office may be limited in its options in investigating and/or resolving anonymous reports because of the unique challenges they present. There is no way to assess the author's accuracy and no ability to obtain additional information from the complainant if the complaint is unclear or confusing. Anonymous reports will be investigated to the best of our ability given the anonymous nature of the complaint.
8. Your First Name
9. Last Name
11. Address
13. City
14. State
15. Zip Code
17. Phone Number
18. Secondary Phone Number
20. Email Address
22. Incident Date/Time
    Incident Date/Time Start Date

    Incident Date/Time Start Time

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    Incident Date/Time End Date

    Incident Date/Time End Time
    Please provide the approximate date and time the incident took place.
24. Incident Narrative
    Describe the incident. Please be specific.
26. Victim First Name
27. Victim Last Name
29. Suspect First Name
30. Suspect Last Name
32. Witnesses
    Full names are preferred, however partial names or aliases may be helpful.
34. Where did this occurr?
    Please list the facility and describe where the incident occurred such as "in cell A12" or "while in booking".
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36. Submit

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