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manateeso.com
PREA Reporting Form

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 – we urge you to report the incident by using the e-mail form below. Your anonymity will be protected. If you fail to report an incident, you could be found to have acted with deliberate indifference towards the victim’s health and/or safety.

All reported incidents will be investigated. You will be contacted, but you may still remain anonymous.

This form is to be used ONLY to report sexual assaults while in the custody of any law enforcement agency, and is not for the use of reporting other crimes. To report other crimes please call 911 or the Sheriff's Office directly at (941) 747-3011

First Name:
Middle Initial:
Last Name:
Address:
City: State: Zip:
Primary Phone:
Secondary Phone:
Email:  
Incident (be specific):
Who was the Victim? How can we contact the victim?:
Who was the Suspect? Where could we contact the suspect?:
When and Where did the incident take Place?:

    

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