SV Disclosure Form
This form may be completed by university community members who have experienced or have been impacted by sexual violence. Those who come forward with a disclosure or complaint will be believed, and their choices regarding how to proceed will be respected. Next steps are dependent on the choices of the complainant, the potential for further harm towards the complainant or others, and the willingness of the respondent/respondents to participate in non-investigative or investigative processes. You do not have to fill out this form alone. You can reach out to a person you trust or the Sexualized Violence Response Consultant.
This disclosure form is designed to help connect individuals who have experienced sexualized violence with support, resources, and information. By providing your contact information, you will be contacted by the Sexualized Violence Response Consultant, who can offer confidential support, discuss available options, and help you access services and accommodations.
Completing this form is not the same as making a formal report or complaint to the university. The purpose of this form is to seek support and share information about your experience if you choose to do so. You remain in control of what information you share and what next steps, if any, you would like to take.
The Sexualized Violence Response Consultant can provide a safe, non-judgmental space to discuss your needs, answer questions, and connect you with campus and community resources.
Sexual Violence New Brunswick https://svnb.ca/en/ . Support line is open from 5pm-8am AST/7 days a week. (506) 454-0437
Jade Centre www.jadecentre.ca . 24/7 confidential support line available for anyone affected by sexualized violence or supporting someone affected by sexualized violence. 1-844-853-0811
Courage Center: 24/7 support and resources for anyone who has experienced sexualized violence. (506)-533-9100
Action Canada for Sexual Health & Rights https://www.actioncanadashr.org/ Access Line is a 7 days a week toll-free, confidential phone and text line. It is available for questions about sexual health, pregnancy options, abortion, and safer sex. 1-888-642-2725 during the hours of 9am-9pm EST. After hours, voicemails can be left and will be returned the following day.
SANE https://horizonnb.ca/services/emergency-department/sane-sexual-assault- . Emergency medical assistance is available by calling 911 or reporting to a Sexual Assault Nurse Examiner (SANE). A SANE is a specially trained and certified professional who provides needed care, documents the details of the assault, and collects evidence.