Military Feedback Form

If you have questions, comments, or complaints about the services on your installation/base or provided by a Sexual Assault Response Coordinator (SARC), victim advocate or other military staff or personnel, please use this feedback form. You can submit the form anonymously if you prefer. The information you provide on this form will be forwarded to the DoD Sexual Assault Prevention and Response Office (SAPRO).

If you believe you have experienced or witnessed retaliation in any form from a peer, supervisor or someone in your chain of command following a report of sexual assault, you can share the retaliation allegations with SAPRO using this form.

If you would like to submit a retaliation report, please report directly to the Department of Defense Inspector General (DoD IG) here.

For members of the Coast Guard who have experienced retaliation, the Department of Homeland Security (DHS) IG will accept retaliation complaints as falling within the scope of their responsibilities for Whistleblower protection. Coast Guard Members who have experienced retaliation can contact the DHS IG by calling 1-800-323-8603 (toll-free) or access the Allegation Form online.

Information you provide on this form will be forwarded to the DoD Sexual Assault Prevention and Response Office (SAPRO).

* indicates a required field

Please indicate which of the following applies to you.
Please indicate which of the following applies to you.
Please indicate which of the following applies to you.
Please tell us where the interaction took place.
Please give the date of the negative interaction (not the assault).
Name and/or office of the person you are writing about
If you have a complaint, compliment, or believe you have experienced retaliation in any form, please be as specific as possible.
Image CAPTCHA
Enter the characters shown in the image.