Montclair, CA · San Bernardino County
Reporting for Alleged Sexual Abuse, Sexual Assault and Sexual Harassment
This form lets a victim or reporter provide the Montclair Police Department with information about alleged sexual abuse, sexual assault, or sexual harassment.
What this form is
The form collects the victim’s name and details about the alleged incident, including when and where it happened, who was involved, and what occurred. Reporters may also provide their name, telephone number, and email address, but that information is optional. The completed form can be emailed or mailed to the department’s PREA Coordinator.
Who needs it
Victims or other people reporting an alleged incident to the Montclair Police Department can use this form; reporter contact details are optional.
How to submit it
Email the completed form to Captain Jason Reed, PREA Coordinator, at [email protected], or mail it to the Montclair Police Department, Attn: Captain Jason Reed, PREA Coordinator, 4870 Arrow Hwy., Montclair, CA 91763.
About notarization
This form is completed without a notary; it mentions no notarized or sworn attachment, and it does not request a signature or date.
How to submit this form
- 1
Download The Form
Download the Montclair Police Department reporting form for alleged sexual abuse, sexual assault, and sexual harassment.
- 2
Complete The Form
Provide the victim’s name and the requested details about the alleged incident. Reporter name and contact information are optional.
- 3
Gather Attachments
The form does not list any attachments to gather.
- 4
Submit To The Police Department
Email the form to [email protected] or mail it to the Montclair Police Department address printed on the form.
Frequently asked questions
- What information does the Montclair sexual abuse report form ask for?
- It asks for the victim’s name and details about the alleged incident, including its date, time, location, people involved, and what happened. Reporter contact details are optional.
- How do I submit the Montclair sexual abuse report form?
- Email the completed form to Captain Jason Reed, PREA Coordinator, at [email protected], or mail it to the Montclair Police Department at the address listed on the form.
- Do I need a notary for the Montclair sexual abuse report form?
- No. The form does not include a notary block or mention a notarized or sworn attachment; it also does not request a signature or date.
Need something notarized?
This Reporting for Alleged Sexual Abuse, Sexual Assault and Sexual Harassment doesn’t need a notary — but if you have another Montclair form that does, a commissioned online notary can help.