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).

**NEW OPTION: SEND FEEDBACK TO THE IRC**

If you choose to do so, you may now use this form to submit feedback to the Secretary of Defense's 90 Day Independent Commission Review (IRC) of Sexual Assault and Sexual Harassment by selecting the button marked "Yes - provide this information to the IRC."

Please understand that this is not a place to make a first time report of sexual assault. Call or chat with a Safe Helpline operator here on this website to find out how to make a sexual assault report.

By selecting the "Yes" button below, you acknowledge that the feedback you provide is not for obtaining confidential advice or assistance from SAPRO.

Do not provide identifying information about yourself, the suspect, or anyone else, especially if you have a case currently in the military justice system. While we have worked to make the Safe Helpline website a secure means to provide information, the feedback you provide is not confidential or protected by privilege. This means that information you provide could be used in proceedings under military law.

Neither your name nor any personally identifying information about you will go to the IRC. Do not include your name or names of people or other identifying information in your feedback. Submissions to the IRC will not receive an individual response from SAPRO or the IRC

* indicates a required field

Provide this information to the IRC?
By selecting Yes, some form fields will be disabled for data entry.
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.

Individuals submitting to the IRC, please DO NOT include PII in your comments.

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