Disclosure form (something happened to someone else)

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Who was affected? *

Something happened to someone else

If you wish to disclose harmful behaviour that happened to someone else click here.

Are you currently safe? *

If you or they are in immediate danger:

Call NZ Police on 111 – if unsafe to speak, push 55
Campus Security 0800 288 7233

First, let us know who you are:

Being withness to harm can be distressing. We want to make sure that you are supported too. We will also keep you informed of our course of action within the limits of AUT’s privacy policy.

Your name *

Your email address *

Your phone number (optional)

Your student ID (optional)

Every submission is read with care and taken seriously. Please keep in mind that anonymous disclosures do limit the actions AUT is able to take.

Who was affected by the incident? *

Please give us the name(s) of the person(s) you are concerned about and contact details if you know them. Tell us their relationship to you. If you were a witness to an incident that happened to strangers on campus, give us the details that you remember (eg number of people, description of those involved).

Are they aware that you are making a disclosure in their name? *

If something happened to an AUT student, we will get in touch with them. If something happened to a member of the public, a family member for example, we will get in touch with you to discuss your options.

Where did the incident occur? *

Describe what happened *

Provide as much detail as you remember. Don’t worry about putting a label on the event. Things to consider: when did the incident(s) happen, where were you at the time, who was involved, what actions have already been taken and were there any witnesses.

Do you want to add a document to your disclosure?

Privacy *

Yes, I understand that information I provide will be stored according to AUT's privacy statement. *