Report a Gender-Based Violence Incident HIDE THIS SITE NOW! For your own SAFETY, please clear your web browser HISTORY after reporting an incident! RM_StatsYou are in safe hands. Your report is automatically submitted to the Gender-Based Violence Command Centre. You will receive an automated email on the next steps to follow.Own Email or Loved One on the Next Steps *First Name *Last Name *Address Current Address * Suburb * Landmark if you left your address for safety City * Victim * Female Child Male Elderly Person With Disability Type Of GBV * Suicide Assistance Required Attempted Murder Physical Assault / Battering Sexual Assault / Violence Emotional / Psychological Financial Coercive / Threats Child Abuse Cyber Violence / Bullying Drink Spiking Leading to Further Assault Who (Perpetrator) *Date Of Incident *Time of Incident *Mobile Number to get hold of you *Brief Overview Of Incident *Who are you reporting for? *Select an optionMyselfA Loved OneA ClientAlternative Number or RelativeTerms Of Use *This report is distributed automatically to the Gender-Based Violence Command Centre. It is illegal to falsely report a crime, you will be prosecuted.I UNDERSTAND AND ACCEPT Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu. Just a reminder to clear your web browser HISTORY after reporting an incident!
