🔒 CONFIDENTIAL - This form must be handled with strict confidentiality
Section A: Reporter Information (Optional for Anonymous Reports)
I wish to remain anonymous: Yes
No
Section B: Incident Category
Sexual Exploitation, Abuse, and Harassment (SEAH)
Physical Harm (PH)
Emotional Distress (ED)
Material Loss/Theft (ML)
Other forms of harm/risk (OH)
Other (specify below)
Section C: Incident Details
Section D: Declaration
I hereby confirm that the information provided above is true and accurate to the best of my knowledge. I understand that this report will be handled confidentially by the Uganda Martyrs University Safeguarding Team.
How to submit this form:
1. Email to: safeguarding@umu.ac.ug
2. Drop at: Office of the Dean of Students, Main Campus, Nkozi
3. Call hotline: +256700123456
After submitting, you will receive a tracking code to monitor your report.