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If you feel unsafe or need immediate help, consider contacting one of the following (you can call, text, or visit a local office):

| Service | Phone / Contact | What they offer | |---------|----------------|-----------------| | National Hotline for Violence Against Women | 1‑800‑XXXX‑XXXX (or your country’s equivalent) | 24‑hour crisis counseling, safety planning, referrals. | | Local Police (non‑emergency line) | [Insert local number] | File a formal complaint, request a protective order. | | Women’s Shelter / Crisis Center | [Insert local contact] | Safe housing, counseling, legal assistance. | | Legal Aid Organization | [Insert contact] | Free or low‑cost legal advice, representation. | | Medical Facility (Sexual Assault Nurse Examiner – SANE) | [Insert hospital name/phone] | Confidential medical exam, evidence collection. | If you feel unsafe or need immediate help,

If you ever feel in immediate danger, call emergency services (e.g., 112 in many countries, 911 in the U.S.) right away. | Item | Details | |------|---------| | Full

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| Item | Details | |------|---------| | Full Name | | | Date of Birth | | | Address / Current Residence | | | Phone Number | | | Email (if you wish to give one) | | | Preferred method of contact | | | Relationship status / family situation | | Draft Report – Sexual Assault (Forced Sexual Activity)

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Draft Report – Sexual Assault (Forced Sexual Activity)

Below is a template you can use to document what happened. Feel free to fill in the sections with as much detail as you feel comfortable providing. When you’re ready, you can give this report to a trusted authority (e.g., local police, a women’s shelter, a crisis hotline, or a legal aid organization).

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