Make a disclosure

Fill out the form below if you witness an incident on campus and would like to report it. You can submit anonymously or leave your contact information and we will follow up to make a report. Using this disclosure form does not mean you will have to make a formal report. You will have the opportunity to meet with a staff member to discuss your options.

If you or someone you know is in immediate danger, please call 911 or contact Campus Security at 905-688-5550  x3200 

  • Are you making a sexual violence disclosure? * Required
  • Date Format: MM slash DD slash YYYY

  • Please fill out the fields below if you would like the Human Rights and Equity department to contact you for further support.

If you have questions or need additional support please contact:

Sexual Violence Support and Education Coordinator
Larisa Fry
MC E215
905 688 5550 x 6174
svsec@brocku.ca